Michael Momchev, DDS

General Practice Dentistry · Peoria, IL

Individual Active NPI

NPI number 1063301000

Practice location

6712 N Mountello Dr
Peoria, IL 61614-2328
Phone
(309) 691-7855

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NPI record

NPI
1063301000
Entity type
Individual (Type 1)
Enumeration date
July 2, 2025
Last updated
July 2, 2025
Certified
July 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019036224 IL

Mailing address

1600 S 4TH Ave Ste 110
Morton, IL 61550-3401
Phone
(309) 370-5853

About Dr. Momchev

Michael Momchev, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6712 N Mountello Dr, Peoria, IL 61614-2328. The NPI number 1063301000 was assigned on July 2, 2025 and the record was last updated on July 2, 2025.

Dr. Momchev lists a license in the registry: #019036224 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Momchev, DDS?

The NPI number is 1063301000.

What is the phone number of Dr. Momchev?

The phone number listed for the practice location is (309) 691-7855.

Where is Dr. Momchev located?

6712 N Mountello Dr, Peoria, IL 61614-2328.

What is the taxonomy code for Dr. Momchev?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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