Morgan Rae Renner, D.M.D.

Dentist · West Peoria, IL

Individual Active NPI

NPI number 1366985418

Practice location

2024 W Rohmann Ave
West Peoria, IL 61604-5500
Phone
(309) 692-5863
Fax
(309) 692-3618

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NPI record

NPI
1366985418
Entity type
Individual (Type 1)
Enumeration date
November 22, 2016
Last updated
October 10, 2022
Certified
October 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019030989 IL

About Dr. Renner

Morgan Rae Renner, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2024 W Rohmann Ave, West Peoria, IL 61604-5500. The NPI number 1366985418 was assigned on November 22, 2016 and the record was last updated on October 10, 2022.

Dr. Renner lists a license in the registry: #019030989 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Morgan Rae Renner, D.M.D.?

The NPI number is 1366985418.

What is the phone number of Dr. Renner?

The phone number listed for the practice location is (309) 692-5863.

Where is Dr. Renner located?

2024 W Rohmann Ave, West Peoria, IL 61604-5500.

What is the taxonomy code for Dr. Renner?

The primary taxonomy code is 122300000X – Dentist.

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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