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

MAPLE SHADE DENTAL (EAST PEORIA) LLC

Active Organization

Dentist · EAST PEORIA, IL

Registration Details

NPI Number
1245522267
Provider Type
Organization
NPI Issued
May 10, 2011 (14.989560978296 yrs)
Last Updated
Mar 18, 2024

Practice Information

Address
1001 ILLINI DR
EAST PEORIA, IL, 616111883
Browse IL providers · Browse ZIP 61611
Phone
3096942620
Primary Specialty
Dentist
122300000X
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.