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

Midwest Orthodontic Associates

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1306988092

Midwest Orthodontic Associates is an Orthodontics and Dentofacial Orthopedics Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

5006 N University St
Peoria, IL 61614-4715
Phone: (309) 691-9665
Fax: (309) 691-9665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X (IL)

Record details

NPI number1306988092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Roehm — President · (309) 691-9665
NPI enumeratedFebruary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5006 N University St, Peoria, IL 61614-4715

Other providers in Peoria