Maple Shade Dental (East Peoria) LLC
Maple Shade Dental (East Peoria) LLC provides Dentist services in East Peoria, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1001 Illini DrEast Peoria, IL 61611-1883
Phone: (309) 694-2620
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1245522267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Victoria Johnson — Cro · (941) 444-0558 |
| NPI enumerated | May 10, 2011 |
| Last updated in NPPES | July 21, 2026 |
| Certification date | July 21, 2026 |
| Mailing address | 6240 Lake Osprey Dr Dept 56057, Lakewood Ranch, FL 34240-8421 |
Other providers in East Peoria
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Michael Connolly
1001 Illini Dr, East Peoria, IL 61611-1883 · (309) 694-2620
-
Dr. Michael Norman Gabor, DDS
133 Oakmoor Dr, East Peoria, IL 61611-1570 · (309) 698-9201
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Dr. Eduardo Daniel Gonzalez, DDS
220 W Washington St, East Peoria, IL 61611-2477 · (309) 839-4673
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Dr. Kwang-Lim Lee, DDS
502 Riverside Dr, East Peoria, IL 61611-2068 · (309) 606-5008
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Maple Shade Dental Camp Street LLC
809 W Camp St, East Peoria, IL 61611-7218 · (309) 694-0606
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Dr. Thomas R Nalepka, DDS
809 W Camp St, East Peoria, IL 61611-7218 · (309) 694-0606
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Taylor Pham
368 W Washington St, East Peoria, IL 61611-2036 · (309) 694-4444
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Jonathan Phen
502 Riverside Dr, East Peoria, IL 61611-2068 · (309) 606-5008