Dale, John B.

Dale, John B. is an sole proprietor health care provider with primary practice located at 7314 N Willow Lake Ct Suite A, Peoria IL 61614-8277. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Dale, John B. can be contacted via phone (309) 691-9100.

Contact Information

Primary practice address
7314 N Willow Lake Ct Suite A Peoria IL 61614-8277
Phone: (309) 691-9100
Fax: (309) 691-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 021002048 Illinois

Profile Details

NPI number 1700158227
LBN Legal business name Dale, John B.
Credentials ,DMD, MS, P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2012
Last updated Feb 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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