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Dr. David Ralph Trost, DDS
General Practice Dentistry in East Peoria, Illinois
NPI 1033263173

David Ralph Trost is a General Practice Dentistry based in East Peoria, IL and is specialized in General Practice. David Ralph Trost practices in East Peoria, IL and has the professional credentials of DDS. The NPI Number for David Ralph Trost is 1033263173 and holds a License No. 019-016607 (Illinois).

The current practice location address for David Ralph Trost is 134 Mckinley St, East Peoria, IL and can be reached out via phone at 309-699-6770 and via fax at 309-699-6771.

Location: 134 Mckinley St, East Peoria, IL, 61611-2550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033263173
Provider Name
David Ralph Trost
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
134 Mckinley St, East Peoria, IL, 61611-2550
Phone Number
309-699-6770
Fax Number
309-699-6771
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019-016607 05 IL
institution
Provider Business Practice Location Address Details
Address
134 Mckinley St
City
East Peoria
State
Illinois
Zip
61611-2550
Phone Number
309-699-6770
Fax Number
309-699-6771
person
Provider Business Mailing Address Details
Address
134 Mckinley St
City
East Peoria
State
Illinois
Zip
61611-2550
Phone Number
309-699-6770
Fax Number
309-699-6771
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-016607 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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