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Dr. Bruce Edward Mathes, DDS
General Practice Dentistry in Peoria, Illinois
NPI 1992893614

Bruce Edward Mathes is a General Practice Dentistry based in Peoria, IL and is specialized in General Practice. Bruce Edward Mathes practices in Peoria, IL and has the professional credentials of DDS. The NPI Number for Bruce Edward Mathes is 1992893614 and holds a License No. (Illinois).

The current practice location address for Bruce Edward Mathes is 121 E Lake Ave, Peoria, IL and can be reached out via phone at 309-685-2112 and via fax at 309-688-7393.

Location: 121 E Lake Ave, Peoria, IL, 61614-6182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992893614
Provider Name
Bruce Edward Mathes
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
121 E Lake Ave, Peoria, IL, 61614-6182
Phone Number
309-685-2112
Fax Number
309-688-7393
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
121 E Lake Ave
City
Peoria
State
Illinois
Zip
61614-6182
Phone Number
309-685-2112
Fax Number
309-688-7393
person
Provider Business Mailing Address Details
Address
121 E Lake Ave
City
Peoria
State
Illinois
Zip
61614-6182
Phone Number
309-685-2112
Fax Number
309-688-7393
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(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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