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Contact Information

JOHN B. DALE, DMD, MS, P.C.
7314 N WILLOW LAKE CT
SUITE A
PEORIA, IL61614-8277
 Phone: 309-691-9100
 Fax: 309-691-6755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JOHN B DALE DMD MS PC · (Female)

NPI Number 1275606592
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2006
Last updated 01/30/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 021.002048
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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