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

Dr. Katherine Mae Shadid, DMD

Individual provider Dentist · NPI 1144066747

Dr. Katherine Mae Shadid, DMD is a Dentist in Peoria, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

843 W Glen Ave
Peoria, IL 61614-4834
Phone: (309) 691-9421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7314 N Willow Lake Ct Ste D, Peoria, IL 61614-8289 — (309) 692-0175

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.035294 (IL)

Record details

NPI number1144066747
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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