Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Illinois Center for Tmj and Facial Pain, PC

Organization Dentist · NPI 1346546421

Central Illinois Center for Tmj and Facial Pain, PC provides Dentist services in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

731 Sabrina Dr Ste A
East Peoria, IL 61611-3581 Not confirmed with CMS for 13 years — call before visiting
Phone: (309) 699-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019021995 (IL)

Record details

NPI number1346546421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Walz — Provider · (309) 699-1300
NPI enumeratedFebruary 7, 2011
Last updated in NPPESSeptember 30, 2013
Mailing address731 Sabrina Dr, Suite A, East Peoria, IL 61611-3581

Other providers in East Peoria