Pine Glen Dental Group, Ltd is a Dental Clinic in Peoria, Illinois. It is located at 838 W Glen Ave, Peoria, IL and its contact number is 309-691-1990. The authorized person for Pine Glen Dental Group, Ltd is Dr. Lori A Rice
who is President of the clinic and their contact number is 309-691-1990. Other organizations associated with this clinic are Pine Glen Dental Group, Ltd, Pine Glen Dental Group, Ltd, The primary license number for Pine Glen Dental Group, Ltd is 060010781 (General Practice) in Illinois.
Pine Glen Dental Group, Ltd Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Pine Glen Dental Group, Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pine Glen Dental Group, Ltd |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 838 W Glen Ave, Peoria,
Illinois, 61614-4835 |
| Phone: | 309-691-1990 |
| Fax: | 309-691-9112 |
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: | Dr. Lori A Rice |
| Position: | President |
| Contact Number: | 309-691-1990 |
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 Pine Glen Dental Group, Ltd clinic are as mentioned below.
| NPI Number: | 1053677765 |
| NPI Enumeration Date: | 06 Apr, 2012 |
| NPI Last Update On: | 06 Apr, 2012 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Pine Glen Dental Group, Ltd | General Practice Dentistry | 1053677765 |
| Pine Glen Dental Group, Ltd | General Practice Dentistry | 1659589299 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Glen Dental Group, Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 060010781 | Illinois | 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: | Pine Glen Dental Group, Ltd
838 W Glen Ave,
Peoria, Illinois |
| Zip: | 61614-4835 |
| Phone Number: | 309-691-1990 |
| Fax Number: | 309-691-9112 |
Patients can reach Pine Glen Dental Group, Ltd at
838 W Glen Ave, Peoria, Illinois or can
call to book an appointment on 309-691-1990.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.