Pine Glen Dental Group, Ltd
Pine Glen Dental Group, Ltd is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
838 W Glen AvePeoria, IL 61614-4835
Phone: (309) 691-1990
Fax: (309) 691-9112
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X (IL) |
|---|
Record details
| NPI number | 1659589299 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Pollard — President · (309) 691-1990 |
| NPI enumerated | May 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 838 W Glen Ave, Peoria, IL 61614-4835 |
Other providers in Peoria
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Larry D Otte, DMD
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Hardik K Patel, DMD
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Dr. Roger Louis Paul, DMD
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Pine Glen Dental Group, Ltd
838 W Glen Ave, Peoria, IL 61614-4835 · (309) 691-1990
-
Dr. Robert Michael Pollard, DDS
838 W Glen Ave, Peoria, IL 61614-4835 · (309) 691-1990
-
Dr. Bethelen O Pudik, DDS
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James Bradley Pueschel, DDS
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Mr. Floyd J Rashid, DDS
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