| Dentsensus Peoria, Pllc | |
|
1320 W Northmoor Rd Ste A Peoria IL 61614-3425 | |
| (414) 841-2881 | |
| Not Available |
| Full Name | Dentsensus Peoria, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1320 W Northmoor Rd Ste A, Peoria, Illinois |
| Authorized Official Name and Position | Jack Kalloch (OWNER) |
| Authorized Official Contact | 4148412881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentsensus Peoria, Pllc 1320 W Northmoor Rd Ste A Peoria IL 61614-3425 Ph: (414) 841-2881 | Dentsensus Peoria, Pllc 1320 W Northmoor Rd Ste A Peoria IL 61614-3425 Ph: (414) 841-2881 |
| NPI Number | 1831085265 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831085265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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