DR. GREGORY H. WAHL (NPI# 1831103886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831103886 |
| Entity Type | Individual |
| Full Name | DR. GREGORY H. WAHL |
| Credential | DDS |
| Practice Address |
2001 W Willow Knolls Dr Suite 202 Peoria IL 61614-1290 |
| Practice Telephone | 3096913636 |
| Mailing Telephone | 3096913636 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19A15296 | IL | Dental Providers |
| Street Address |
2001 W WILLOW KNOLLS DR SUITE 202 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-1290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593042 | Danila L Mcasey | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2006-01-18 |
| 1821329244 | Lisa A Joyce | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2010-01-25 |
| 1578898441 | Megan Nicole Sanders | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Ste. 106, Peoria, IL 61614-1290 | 2009-10-12 |
| 1023294907 | Amy J Sigler | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2008-01-10 |
| 1124211552 | Leslie Ann Garthaus | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2007-08-20 |
| 1316062797 | Speech & Language Rehabilitation Service Ltd | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2007-03-21 |
| 1063552685 | James R. Frost | Dentist | 2001 W Willow Knolls Dr, Suite #204, Peoria, IL 61614-1290 | 2007-02-07 |
| 1578631339 | Lynn Ellen Irving-klass | Counselor | 2001 W Willow Knolls Dr, Suite 205a, Peoria, IL 61614-1290 | 2006-12-01 |
| 1518979053 | Nicole L Campbell | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2006-08-13 |
| 1790797249 | Martha Rients | Speech-Language Pathologist | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1290 | 2006-08-13 |
| Find all providers in the same location | ||||
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530187 | Core Family Dental, LLC | Dentist | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-05-24 |
| 1982248084 | Westbrook Dental Center, P.a. | Dentist | 9276 W Union Hills Dr Ste A, Peoria, AZ 85382-8206 | 2019-10-31 |
| 1699318725 | Mint Dental Care LLC | Dentist | 8258 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4777 | 2019-10-21 |
| 1548822497 | Katherine M Unes | Dentist | 11323 N Pawnee Rd, Peoria, IL 61615-9796 | 2019-07-01 |
| 1992296073 | George S Hariri | Dentist | 7777 W Deer Valley Rd Ste 160, Peoria, AZ 85382-2104 | 2018-05-23 |
| 1619485869 | Thunderbird Dental Studio | Dentist | 9179 W Thunderbird Rd Ste 107, Peoria, AZ 85381-4875 | 2018-01-22 |
| 1588179311 | Dr. Marc C Thevenin Jr. PC | Dentist | 5116 N Big Hollow Rd Ste 101, Peoria, IL 61615-3514 | 2017-12-01 |
| 1629592423 | Jessica Leigh Howard | Dentist | 7966 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4902 | 2017-08-02 |
| 1588193718 | Darren Anderson | Dentist | 28451 N Vistancia Blvd Ste 101, Peoria, AZ 85383-2090 | 2017-06-10 |
| 1962943290 | Optim Dental Peoria-1 LLC | Dentist | 1200 W Main St Ste 9, Peoria, IL 61606-1218 | 2017-03-20 |
| 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.