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

Central Illinois Center for Tmj and Facial Pain, PC

Organization Dentist · NPI 1346546421

Central Illinois Center for Tmj and Facial Pain, PC is a Dentist in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

731 Sabrina Dr Ste A
East Peoria, IL 61611-3581
Phone: (309) 699-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019021995 (IL)

Record details

NPI number1346546421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Walz — Provider · (309) 699-1300
NPI enumeratedFebruary 7, 2011
Last updated in NPPESSeptember 30, 2013
Mailing address731 Sabrina Dr, Suite A, East Peoria, IL 61611-3581

Other providers in East Peoria