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Derek P Grzanich, DDS
General Practice Dentistry in Peoria, Illinois
NPI 1487736112

Derek P Grzanich is a General Practice Dentistry based in Edwards, IL and is specialized in General Practice. Derek P Grzanich practices in Peoria, IL and has the professional credentials of DDS. The NPI Number for Derek P Grzanich is 1487736112 and holds a License No. 019026724 (Illinois).

The current practice location address for Derek P Grzanich is 9016 N Allen Rd, Peoria, IL and can be reached out via phone at 309-690-4500 and via fax at 309-690-4500. You can also correspond with Derek P Grzanich through the mailing address at 5518 W BROOKMERE DRIVE, EDWARDS, IL - 61528-9407 (mailing address contact number: 309-683-2877).

Location: 9016 N Allen Rd, Peoria, IL, 61528-9407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487736112
Provider Name
Derek P Grzanich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9016 N Allen Rd, Peoria, IL, 61528-9407
Phone Number
309-690-4500
Fax Number
309-690-4500
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9016 N Allen Rd
City
Peoria
State
Illinois
Zip
61615-1513
Phone Number
309-690-4500
Fax Number
309-690-4500
person
Provider Business Mailing Address Details
Address
5518 W Brookmere Drive
City
Edwards
State
Illinois
Zip
61528-9407
Phone Number
309-683-2877
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019026724 (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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