SHANNON HAVEL DDS NPI 1497646772

NPI Information

  • NPI: 1497646772
  • Provider Name: SHANNON HAVEL, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 2015 W GLEN AVE STE 230
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 673-4616

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NPI Details

Shannon Havel, DDS is a general practice dentist in Peoria, IL. The provider is 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. Shannon Havel, DDS NPI is 1497646772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2015 W GLEN AVE STE 230
PEORIA, IL
ZIP 61614-691
Phone: (309) 673-4616

The enumeration date for this NPI number is 7/14/2025 and was last updated on 7/14/2025.

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
11223G0001XDentistGeneral Practice019036257ILLINOISYes

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: 11/21/2025

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