Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd
Oral and Maxillofacial Dental Clinic
5720 N Knoxville Ave, Peoria
Illinois, 61614-4331
309-682-1213 309-682-5386
Maps & DirectionsAssociated Oral And Maxillofacial Surgeons Of Peoria, Ltd is a Oral and Maxillofacial Dental Clinic in Peoria, Illinois. It is located at 5720 N Knoxville Ave, Peoria, IL and its contact number is 309-682-1213. The authorized person for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is Robyn Wolfe
who is Practice Leader of the clinic and their contact number is 309-682-1249. The primary license number for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd is 019024407 (Oral and Maxillofacial Surgery) in Illinois.
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 5720 N Knoxville Ave, Peoria, Illinois, 61614-4331 |
| Phone: | 309-682-1213 |
| Fax: | 309-682-5386 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Robyn Wolfe |
| Position: | Practice Leader |
| Contact Number: | 309-682-1249 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd clinic are as mentioned below.
| NPI Number: | 1154357291 |
| NPI Enumeration Date: | 23 Jun, 2006 |
| NPI Last Update On: | 05 Nov, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 019024407 | Illinois | Primary | |
| Oral and Maxillofacial Surgery | 019023700 | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019024407 | Other | Illinois | Larry D. Otte License Num |
| 019023700 | Other | Illinois | John J. Otten License Num |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd 5720 N Knoxville Ave, Peoria, Illinois |
| Zip: | 61614-4331 |
| Phone Number: | 309-682-1213 |
| Fax Number: | 309-682-5386 |
Patients can reach Associated Oral And Maxillofacial Surgeons Of Peoria, Ltd at
5720 N Knoxville Ave, Peoria, Illinois or can
call to book an appointment on 309-682-1213.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.