Dr. Nicole Marie Sudholt is a Peoria, Illinois based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Nicole Marie Sudholt is 019028323 for Dentistry in Illinois. Her current practice location is 843 W Glen Ave, Peoria. Patients can reach her at 309-691-9421.
Dr. Nicole Marie Sudholt is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Nicole Marie Sudholt 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. Nicole Marie Sudholt
Specialization:
Dentist
Gender:
Female
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
843 W Glen Ave, Peoria, Illinois, 61614-4834
Phone:
309-691-9421
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:
1184915431
NPI Enumeration Date:
20 Apr, 2011
NPI Last Update On:
20 Apr, 2011
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. Nicole Marie Sudholt are as mentioned below.
License Number
Specialization
State
Status
019028323
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:
843 W Glen Ave, Peoria, Illinois
Zip:
61614-4834
Phone Number:
309-691-9421
Patients can reach Dr. Nicole Marie Sudholt at 843 W Glen Ave, Peoria, Illinois or can call to book an appointment on 309-691-9421. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.