Dr. Jack Glenn Walz, DDS
Dr. Jack Glenn Walz, DDS is an Oral Surgery in East Peoria, Illinois. Qualified in 1981, 45 years ago. Licensed in Illinois.
- Years since qualifying
- 45
- Licensed in
- IL
- In the registry since
- 2006
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.
Practice location Address checks out
731 Sabrina Dr Ste AEast Peoria, IL 61611
Phone: (309) 699-1300
Fax: (309) 699-5399
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
| Dentist (primary) | Taxonomy 122300000X · Licence 019021995 (IL) |
|---|
Record details
| NPI number | 1427166008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | August 25, 2006 |
| Last updated in NPPES | March 12, 2018 |
| Mailing address | 731 Sabrina Dr, Unit A, East Peoria, IL 61611-3582 |
Medicare enrollment
| Medicare specialty | ORAL SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1981 (45 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in East Peoria
-
Dr. Thomas R Nalepka, DDS
809 W Camp St, East Peoria, IL 61611-7218 · (309) 694-0606
-
Taylor Pham
368 W Washington St, East Peoria, IL 61611-2036 · (309) 694-4444
-
Jonathan Phen
502 Riverside Dr, East Peoria, IL 61611-2068 · (309) 606-5008
-
Dr. Morgan Marie Shanahan, DMD
809 W Camp St, East Peoria, IL 61611-7218 · (309) 694-0606
-
Christopher Webb, DMD
360 W Washington St, East Peoria, IL 61611 · (309) 306-2805