| Clove Dental Pllc | |
|
4207 N Prospect Rd Peoria Heights IL 61616-7754 | |
| (309) 323-8884 | |
| (309) 324-3336 |
| Full Name | Clove Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4207 N Prospect Rd, Peoria Heights, Illinois |
| Authorized Official Name and Position | Sandeep Thota (PRESIDENT) |
| Authorized Official Contact | 3146516550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clove Dental Pllc 4207 N Prospect Rd Peoria Heights IL 61616-7754 Ph: (309) 323-8884 | Clove Dental Pllc 4207 N Prospect Rd Peoria Heights IL 61616-7754 Ph: (309) 323-8884 |
| NPI Number | 1588519904 |
|---|---|
| Provider Enumeration Date | 03/02/2026 |
| Last Update Date | 03/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588519904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |