PEORIA DENTAL LLC
NPI 1992202139
Clinic/Center - Dental in Peoria, IL

Q: What is Peoria Dental LLC's NPI number?

The NPI number for Peoria Dental LLC is 1992202139. It was assigned to this organization in the NPPES registry on April 12, 2018.

Q: What is Peoria Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Peoria Dental LLC was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2018

7417 N KNOXVILLE AVE, PEORIA, IL 61614(309) 981-5995(309) 981-5981 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Peoria Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEORIA DENTAL LLC (NPI 1992202139) is a healthcare organization registered as a dental in Peoria, Illinois and active in the NPI registry since April 2018. The organization lists Scott C Bares, President, as its authorized official.

NPPES Registry Identity

NPI1992202139

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePEORIA DENTAL LLC

Location Address7417 N KNOXVILLE AVEPeoria, IL 61614-2019

Mailing Address7417 N Knoxville AvePeoria, IL 61614-2019 · (309) 981-5995 · Fax (309) 981-5981

Phone(309) 981-5995

Fax(309) 981-5981

Organization SubpartNo

Authorized OfficialScott C BaresPresident · (309) 981-5995

Enumeration DateApril 12, 2018

✔ NPI 1992202139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

7417 N KNOXVILLE AVE, Peoria, IL 61614

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peoria Dental LLC's NPI number?

The NPI number for Peoria Dental LLC is 1992202139. It was assigned to this organization in the NPPES registry on April 12, 2018.

Where is Peoria Dental LLC located?

Peoria Dental LLC is located at 7417 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 981-5995.

What is Peoria Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Peoria Dental LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Peoria Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peoria Dental LLC was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.