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

Dr. Robert John Busch, DMDMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1467669762

Dr. Robert John Busch, DMDMD is an Oral and Maxillofacial Surgery (Dentist) in Peoria, Illinois. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2807 N Knoxville Ave
Peoria, IL 61604-2869
Phone: (309) 682-1213
Fax: (309) 682-1213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 0021934 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP10028831 (TX)

Record details

NPI number1467669762
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESAugust 12, 2015
Mailing address2807 N Knoxville Ave, Peoria, IL 61604-2869

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