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

Dr. Bryan T. Tervo, DDS

Individual provider General Practice Dentistry · NPI 1467563809

Dr. Bryan T. Tervo, DDS is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois, Michigan, Ohio and Oregon. Registered with an NPI since 2006.

Licensed in
IL, MI, OH, OR
In the registry since
2006
Specialties on file
4
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

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 624-9741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.036514 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DF0043 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30.021010 (OH)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901601231 (MI)

Record details

NPI number1467563809
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address3204 W Cypress Creek Dr, Dunlap, IL 61525-2514

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