Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK P GRZANICH, DDS
ActiveDEREK P GRZANICH, DDS is a Endodontics healthcare provider located in PEORIA, Illinois. NPI 1487736112 is currently active in the NPPES registry. Verify at CMS.
Endodontics · PEORIA, IL
Registration Details
- NPI Number
- 1487736112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.775941375114 yrs)
- Last Updated
- Sep 12, 2025
- Licenses
-
019026724 (IL)29339 (TX)
Practice Information
- Address
-
9016 N ALLEN RDSUITE BPEORIA, IL, 616151513Browse IL providers · Browse ZIP 61615
- Phone
- 3096904500
- Fax
- 3096904500
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
Other Endodontics Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES JEFFERY BALDI | DDS | 1306889555 |
| DR. STEPHEN MICHAEL BENJAMIN | D.M.D., M.S. | 1205907490 |
| DR. FABIAN GREGORY HOSEIN | D.D.S, M.S. | 1780701128 |
| DR. DARMON KUNTZ | D.D.S. | 1982818548 |
| MRS. KATHERINE A. KUNTZ-JAKUC | D.D.S. | 1346579240 |
| JOHN B. DALE | DMD, MS, P.C. | 1700158227 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.