MR. HEATHER L DENTINO APN NPI 1831898014

NPI Information

  • NPI: 1831898014
  • Provider Name: MR. HEATHER L DENTINO, APN
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6708 N KNOXVILLE AVE
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 692-6838

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NPI Details

MR. Heather L Dentino, APN is a gynecology obstetrics gynecology in Peoria, IL with 4 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MR. Heather L Dentino, APN NPI is 1831898014. 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:

6708 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614-862
Phone: (309) 692-6838
Fax: (309) 691-6858

The NPI 1831898014 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2023 and was last updated on 2/27/2023.

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
1207VG0400XObstetrics & GynecologyGynecology209026831ILLINOISYes

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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