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

Associated Oral and Maxillofacial Surgeons of Peoria, Ltd

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1154357291

Associated Oral and Maxillofacial Surgeons of Peoria, Ltd is an Oral and Maxillofacial Surgery (Dentist) in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5720 N Knoxville Ave
Peoria, IL 61614-4331
Phone: (309) 682-1213
Fax: (309) 682-5386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 019024407 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 019023700 (IL)

Record details

NPI number1154357291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robyn Wolfe — Practice Leader · (309) 682-1249
Other names Associated Oral Surgeons
NPI enumeratedJune 23, 2006
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address5720 N Knoxville Ave, Peoria, IL 61614-4331

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