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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PINE GLEN DENTAL GROUP, LTD

Active Organization

PINE GLEN DENTAL GROUP, LTD is a General Dentistry organization located in PEORIA, Illinois. NPI 1053677765 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PEORIA, IL

Registration Details

NPI Number
1053677765
Provider Type
Organization
NPI Issued
Apr 6, 2012 (14.368051945113 yrs)
Last Updated
Apr 6, 2012
License
060010781 (IL)

Practice Information

Address
838 W GLEN AVE
PEORIA, IL, 616144835
Browse IL providers · Browse ZIP 61614
Phone
3096911990
Fax
3096919112
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in PEORIA, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.