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

Jacob Ryan Krisher, DMD

Individual provider General Practice Dentistry · NPI 1124699657

Jacob Ryan Krisher, DMD is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
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

3316 N Avalon Pl
Peoria, IL 61604-1472
Phone: (309) 335-0531
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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 019033284 (IL)

Record details

NPI number1124699657
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 6, 2021
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address1318 W Candletree Dr Ste 2, Peoria, IL 61614-8509

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