Alexander James Boerckel is a Peoria, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Alexander James Boerckel is 019.030868 for Dentistry in Illinois. His current practice location is 4517 N Rockwood Dr, Peoria. Patients can reach him at 309-688-0121.
Alexander James Boerckel is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Alexander James Boerckel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Alexander James Boerckel
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D
Accepts Medicare Assignment:
No
Practice Address:
4517 N Rockwood Dr, Peoria, Illinois, 61615-3841
Phone:
309-688-0121
Fax:
309-688-5643
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 are as mentioned below.
NPI Number:
1538613880
NPI Enumeration Date:
03 Aug, 2016
NPI Last Update On:
10 Dec, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexander James Boerckel are as mentioned below.
License Number
Specialization
State
Status
019.030868
Dentistry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Alexander James Boerckel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1851909345
Other
Illinois
PEORIA DENTAL CARE, LLC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4517 N Rockwood Dr, Peoria, Illinois
Zip:
61615-3841
Phone Number:
309-688-0121
Fax Number:
309-688-5643
Patients can reach Alexander James Boerckel at 4517 N Rockwood Dr, Peoria, Illinois or can call to book an appointment on 309-688-0121. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.