Dr. Jack Glenn Walz
DDS | Dentist | 45+ years Exp
731 Sabrina Drive, Ste A, East Peoria
Illinois, 61611
309-699-1300 309-699-5399
Maps & DirectionsDr. Jack Glenn Walz is a East Peoria, Illinois based Dentist with
45 years of experience in
Dentistry. He completed his graduation from
Other in 1981. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Jack Glenn Walz is
019021995 for Dentistry in Illinois. His current practice location is
731 Sabrina Drive, Ste A, East Peoria. Patients can reach him at
309-699-1300.
Dr. Jack Glenn Walz 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:
Dr. Jack Glenn Walz 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: | Dr. Jack Glenn Walz |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Experience: | 45+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1981 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 731 Sabrina Drive, Ste A, East Peoria,
Illinois, 61611 |
| Phone: | 309-699-1300 |
| Fax: | 309-699-5399 |
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.
| PAC ID: | 3971784901 |
| Enrollment ID: | I20130617000060 |
| NPI Number: | 1427166008 |
| NPI Enumeration Date: | 25 Aug, 2006 |
| NPI Last Update On: | 12 Mar, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Glenn Walz are as mentioned below.
| License Number | Specialization | State | Status | |
| 019021995 | Dentistry | 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: | 731 Sabrina Dr, Unit A
East Peoria, Illinois |
| Zip: | 61611-3582 |
| Phone Number: | 309-699-1300 |
| Fax Number: | 309-699-5399 |
Patients can reach Dr. Jack Glenn Walz at
731 Sabrina Drive, Ste A, East Peoria, Illinois or can
call to book an appointment on 309-699-1300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.