JOHN B. DALE, DMD, MS, P.C. (NPI# 1275606592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275606592 |
| Entity Type | Organization |
| Organization Name | JOHN B. DALE, DMD, MS, P.C. |
| Practice Address |
7314 N Willow Lake Ct Suite A Peoria IL 61614-8277 |
| Practice Telephone | 3096919100 |
| Practice Fax Number | 3096916755 |
| Mailing Telephone | 3096919100 |
| Mailing Fax Number | 3096916755 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | DR. JOHN BRUCE DALE (DOCTOR) |
| Authorized Official Telephone | 3096919100 |
| Authorized Official Credential | D.M.D., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
021.002048 | IL | Dental Providers |
| Street Address |
7314 N WILLOW LAKE CT SUITE A |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-8277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700158227 | John B. Dale | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2012-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083926992 | Nathan John Hinckley | Dentist | 8085 W Bell Rd Ste 103, Peoria, AZ 85382-3825 | 2010-07-08 |
| 1760567291 | Scott William Pace | Dentist | 7972 W Thunderbird Rd Ste 103, Peoria, AZ 85381-4903 | 2006-10-25 |
| 1306889555 | James Jeffery Baldi | Dentist | 3813 N Sterling Ave, Peoria, IL 61615-4230 | 2006-06-14 |
| 1437124278 | Spencer W Crook | Dentist | 7972 W Thunderbird Rd, Suite #103, Peoria, AZ 85381-4903 | 2006-02-22 |
| 1508868209 | Ldj Endodontics, Ltd | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2005-08-12 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1700158227 | John B. Dale | Dentist | 7314 N Willow Lake Ct, Suite A, Peoria, IL 61614-8277 | 2012-01-30 |
| 1346579240 | Katherine A. Kuntz-jakuc | Dentist | 6901 N Knoxville Ave, Suite 100, Peoria, IL 61614 | 2009-12-24 |
| 1740515691 | Sunset Endodontics, Ltd. | Dentist | 8632 W Clara Ln, Peoria, AZ 85382-1429 | 2009-10-10 |
| 1629289491 | Northwest Endodontics | Dentist | 7972 W Thunderbird Rd, Suite 103, Peoria, AZ 85381-4903 | 2007-05-24 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.