| John B. Dale, Dmd, Ms, P.c. | |
|
7314 N Willow Lake Ct Suite A Peoria IL 61614-8277 | |
| (309) 691-9100 | |
| (309) 691-6755 |
| Full Name | John B. Dale, Dmd, Ms, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7314 N Willow Lake Ct, Peoria, Illinois |
| Authorized Official Name and Position | John Bruce Dale (DOCTOR) |
| Authorized Official Contact | 3096919100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John B. Dale, Dmd, Ms, P.c. 7314 N Willow Lake Ct Suite A Peoria IL 61614-8277 Ph: (309) 691-9100 | John B. Dale, Dmd, Ms, P.c. 7314 N Willow Lake Ct Suite A Peoria IL 61614-8277 Ph: (309) 691-9100 |
| NPI Number | 1275606592 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275606592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 021.002048 (Illinois) | Primary |
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