Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Affinity Dental Peoria LLC

Organization General Practice Dentistry · NPI 1336985076

Affinity Dental Peoria LLC is a General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3510 N University St Ste C
Peoria, IL 61604-1348
Phone: (309) 271-7777
Fax: (309) 324-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1336985076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Srinivas Durshanapalli — President · (203) 215-4687
Other names Affinity Family Dental Peoria; Affinity Family Dental Peoria
NPI enumeratedJuly 2, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address3510 N University St Ste C, Peoria, IL 61604-1348

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