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

Derek P Grzanich, DDS

Individual provider General Practice Dentistry · NPI 1487736112

Derek P Grzanich, DDS is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2006.

Licensed in
IL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9016 N Allen Rd Ste B
Peoria, IL 61615-1513
Phone: (309) 690-4500
Fax: (309) 690-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 29339 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019026724 (IL)

Record details

NPI number1487736112
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address5518 W Brookmere Drive, Edwards, IL 61528-9407

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