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

Alexander James Boerckel, DMD

Individual provider Dentist · NPI 1538613880

Alexander James Boerckel, DMD is a Dentist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4517 N Rockwood Dr
Peoria, IL 61615-3841
Phone: (309) 688-0121
Fax: (309) 688-5643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.030868 (IL)

Record details

NPI number1538613880
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address4517 N Rockwood Dr, Peoria, IL 61615-3841

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