Maple Shade Dental (east Peoria) Llc is a Dental Clinic in East Peoria, Illinois. It is located at 1001 Illini Dr, East Peoria, IL and its contact number is 309-694-2620. The authorized person for Maple Shade Dental (east Peoria) Llc is Mike Cole
who is Insurance Director of the clinic and their contact number is 727-726-1611.
Maple Shade Dental (east Peoria) Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Maple Shade Dental (east Peoria) Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Maple Shade Dental (east Peoria) Llc |
| Specialization: | Dentistry |
| Clinic Address: | 1001 Illini Dr, East Peoria,
Illinois, 61611-1883 |
| Phone: | 309-694-2620 |
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: | Mike Cole |
| Position: | Insurance Director |
| Contact Number: | 727-726-1611 |
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 Maple Shade Dental (east Peoria) Llc clinic are as mentioned below.
| NPI Number: | 1245522267 |
| NPI Enumeration Date: | 10 May, 2011 |
| NPI Last Update On: | 18 Mar, 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 Maple Shade Dental (east Peoria) Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Maple Shade Dental (east Peoria) Llc
6240 Lake Osprey Dr Dept 56057,
Lakewood Ranch, Florida |
| Zip: | 34240-8421 |
| Phone Number: | -- |
Patients can reach Maple Shade Dental (east Peoria) Llc at
1001 Illini Dr, East Peoria, Illinois or can
call to book an appointment on 309-694-2620.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.