institution
Pine Glen Dental Group, Ltd
General Practice Dentistry in Peoria, Illinois
NPI 1053677765

Pine Glen Dental Group, Ltd is a General Practice Dentistry based in Peoria, IL and is specialized in General Practice. Pine Glen Dental Group, Ltd practices in Peoria, IL. The NPI Number for Pine Glen Dental Group, Ltd is 1053677765 and holds a License No. 060010781 (Illinois).

The current practice location address for Pine Glen Dental Group, Ltd is 838 W Glen Ave, Peoria, IL and can be reached out via phone at 309-691-1990 and via fax at 309-691-9112.

Location: 838 W Glen Ave, Peoria, IL, 61614-4835
institution
Provider Profile Details
NPI Number
1053677765
Provider Name
Pine Glen Dental Group, Ltd
Credential
Provider Entity Type
Organization
Address
838 W Glen Ave, Peoria, IL, 61614-4835
Phone Number
309-691-1990
Fax Number
309-691-9112
Provider Enumeration Date
04/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
838 W Glen Ave
City
State
Zip
61614-4835
Phone Number
309-691-1990
Fax Number
309-691-9112
person
Provider Business Mailing Address Details
Address
838 W Glen Ave
City
State
Zip
61614-4835
Phone Number
309-691-1990
Fax Number
309-691-9112
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
060010781 (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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