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

Dental Professionals of Illinois, PC

Organization General Practice Dentistry · NPI 1376765818

Dental Professionals of Illinois, PC provides General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2007.

In the registry since
2007
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

3412 W Willow Knolls Rd Ste A
Peoria, IL 61614 Not confirmed with CMS for 12 years — call before visiting
Phone: (309) 690-3262
Fax: (309) 693-8295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1376765818
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Professionals of Illinois, PC
Authorized official Lindsay Bearden — Ins Cood · (217) 540-5100
Other names Northgate Family Dental
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 8, 2014
Mailing address3412 W Willow Knolls Road, Suite A, Peoria, IL 61614

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