Midwest Orthodontic Associates is a Orthodontics and Dentofacial Clinic in Peoria, Illinois. It is located at 5006 N University St, Peoria, IL and its contact number is 309-691-9665. The authorized person for Midwest Orthodontic Associates is Stephen C Roehm
who is President of the clinic and their contact number is 309-691-9665. Midwest Orthodontic Associates Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Midwest Orthodontic Associates Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Midwest Orthodontic Associates
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
5006 N University St, Peoria, Illinois, 61614-4715
Phone:
309-691-9665
Fax:
309-691-9665
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:
Stephen C Roehm
Position:
President
Contact Number:
309-691-9665
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 Midwest Orthodontic Associates clinic are as mentioned below.
NPI Number:
1306988092
NPI Enumeration Date:
12 Feb, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midwest Orthodontic Associates are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
Illinois
Primary
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
1004551
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Midwest Orthodontic Associates 5006 N University St, Peoria, Illinois
Zip:
61614-4715
Phone Number:
309-691-9665
Fax Number:
309-691-9665
Patients can reach Midwest Orthodontic Associates at 5006 N University St, Peoria, Illinois or can call to book an appointment on 309-691-9665. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.