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

Dr. Kevin T. Nelson, DDS

Individual provider General Practice Dentistry · NPI 1396810123

Dr. Kevin T. Nelson, DDS is a General Practice Dentistry in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

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.

See every abbreviation used in this directory →

Practice location Address checks out

1116 W Loucks Ave
Peoria, IL 61604-2677
Phone: (309) 688-2112
Fax: (309) 688-9776
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1396810123
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1116 W Loucks Ave, Peoria, IL 61604-2677

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