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

Peoria Dental LLC

Organization Dental Clinic/Center · NPI 1992202139

Peoria Dental LLC is a Dental Clinic/Center in Peoria, Illinois. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7417 N Knoxville Ave
Peoria, IL 61614-2019
Phone: (309) 981-5995
Fax: (309) 981-5981
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1992202139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Bares — President · (309) 981-5995
NPI enumeratedApril 12, 2018
Last updated in NPPESApril 12, 2018
Mailing address7417 N Knoxville Ave, Peoria, IL 61614-2019

Other providers in Peoria