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Jacob Ryan Krisher, DMD
General Practice Dentistry in Peoria, Illinois
NPI 1124699657

Jacob Ryan Krisher is a General Practice Dentistry based in Peoria, IL and is specialized in General Practice. Jacob Ryan Krisher practices in Peoria, IL and has the professional credentials of DMD. The NPI Number for Jacob Ryan Krisher is 1124699657 and holds a License No. 019033284 (Illinois).

The current practice location address for Jacob Ryan Krisher is 3316 N Avalon Pl, Peoria, IL and can be reached out via phone at 309-335-0531.

Location: 3316 N Avalon Pl, Peoria, IL, 61614-8509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124699657
Provider Name
Jacob Ryan Krisher
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3316 N Avalon Pl, Peoria, IL, 61614-8509
Phone Number
309-335-0531
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3316 N Avalon Pl
City
Peoria
State
Illinois
Zip
61604-1472
Phone Number
309-335-0531
Fax Number
person
Provider Business Mailing Address Details
Address
3316 N Avalon Pl
City
Peoria
State
Illinois
Zip
61604-1472
Phone Number
309-335-0531
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019033284 (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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