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

MAPLE SHADE DENTAL CAMP STREET LLC

Active Organization

Dentist · EAST PEORIA, IL

Registration Details

NPI Number
1497003156
Provider Type
Organization
NPI Issued
Aug 28, 2012 (13.68818946564 yrs)
Last Updated
Aug 28, 2012

Practice Information

Address
809 W CAMP ST
EAST PEORIA, IL, 616117218
Browse IL providers · Browse ZIP 61611
Phone
3096940606
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.