JOHN B. DALE DMD MS P.C. NPI 1275606592

NPI Information

  • NPI: 1275606592
  • Provider Name: JOHN B. DALE, DMD, MS, P.C.
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 7314 N WILLOW LAKE CT
    SUITE A
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 691-9100

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NPI Details

JOHN B. DALE, DMD, MS, P.C. is an endodontics dentist in Peoria, IL. The provider is 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. JOHN B. DALE, DMD, MS, P.C. NPI is 1275606592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7314 N WILLOW LAKE CT
SUITE A
PEORIA, IL
ZIP 61614-277
Phone: (309) 691-9100
Fax: (309) 691-6755

The provider's authorized official is John Bruce Dale .
The authorized official title is Doctor and has the following contact phone number (309) 691-9100.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 1/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics021.002048ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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