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Dr. Christa Yvette Spates, DDS
Pediatric Dentist in Peoria, Illinois
NPI 1952472276

Christa Yvette Spates is a Pediatric Dentist based in Peoria, IL and is specialized in Pediatric Dentistry. Christa Yvette Spates practices in Peoria, IL and has the professional credentials of DDS. The NPI Number for Christa Yvette Spates is 1952472276 and holds a License No. 01923199 (Illinois).

The current practice location address for Christa Yvette Spates is 1320 W Northmoor Rd, Peoria, IL and can be reached out via phone at 309-690-3368 and via fax at 309-691-6326.

Location: 1320 W Northmoor Rd, Peoria, IL, 61614-3470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952472276
Provider Name
Christa Yvette Spates
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1320 W Northmoor Rd, Peoria, IL, 61614-3470
Phone Number
309-690-3368
Fax Number
309-691-6326
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1320 W Northmoor Rd
City
Peoria
State
Illinois
Zip
61614-3470
Phone Number
309-690-3368
Fax Number
309-691-6326
person
Provider Business Mailing Address Details
Address
1320 W Northmoor Rd
City
Peoria
State
Illinois
Zip
61614-3470
Phone Number
309-690-3368
Fax Number
309-691-6326
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
01923199 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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