| Associated Oral Surgeons | |
|
5720 N Knoxville Ave Peoria IL 61614-4331 | |
| (309) 682-1213 | |
| (309) 682-5386 |
| Full Name | Associated Oral Surgeons |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5720 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Robyn Wolfe (PRACTICE LEADER) |
| Authorized Official Contact | 3096821249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Oral Surgeons 5720 N Knoxville Ave Peoria IL 61614-4331 Ph: (309) 682-1213 | Associated Oral Surgeons 5720 N Knoxville Ave Peoria IL 61614-4331 Ph: (309) 682-1213 |
| NPI Number | 1154357291 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154357291 | NPI | - | NPPES |
| 019024407 | Other | IL | LARRY D. OTTE LICENSE NUM |
| 019023700 | Other | IL | JOHN J. OTTEN LICENSE NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019023700 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019024407 (Illinois) | Primary |
Pine Glen Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112 | |
Thomas C. Ferlmann Dmd , Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4325 N Sheridan Rd, Peoria, IL 61614 Phone: 309-685-0032 | |
Laura J Donlan Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7314 N Willowlake Court, Suite D, Peoria, IL 61614 Phone: 309-692-0175 Fax: 309-692-3139 | |
Smile Design Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7310 N. Villa Lake Drive, Suite A, Peoria, IL 61614 Phone: 309-689-0746 Fax: 309-689-0759 | |
Richard T. Moon, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6712 N Mountello Dr, Peoria, IL 61614 Phone: 309-691-7855 Fax: 309-691-8853 | |
Martin Ruelas, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10330 N Juliet Ct, Peoria, IL 61615 Phone: 309-243-8455 Fax: 309-243-8466 |