Bryan T. Tervo, D.D.S.

General Practice Dentistry · Peoria, IL

Individual Active NPI

NPI number 1467563809

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 624-9741

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NPI record

NPI
1467563809
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
June 17, 2026
Certified
June 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.036514 IL
General Practice Dentistry 1223G0001X DF0043 OR
General Practice Dentistry 1223G0001X 30.021010 OH
General Practice Dentistry 1223G0001X 2901601231 MI

Mailing address

3204 W Cypress Creek Dr
Dunlap, IL 61525-2514
Phone
(971) 336-1101

About Dr. Tervo

Bryan T. Tervo, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 530 NE Glen Oak Ave, Peoria, IL 61637-0001. The NPI number 1467563809 was assigned on August 31, 2006 and the record was last updated on June 17, 2026.

Dr. Tervo lists 4 licenses in the registry: #019.036514 (IL) for General Practice Dentistry; #DF0043 (OR) for General Practice Dentistry; #30.021010 (OH) for General Practice Dentistry; #2901601231 (MI) 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 Bryan T. Tervo, D.D.S.?

The NPI number is 1467563809.

What is the phone number of Dr. Tervo?

The phone number listed for the practice location is (309) 624-9741.

Where is Dr. Tervo located?

530 NE Glen Oak Ave, Peoria, IL 61637-0001.

What is the taxonomy code for Dr. Tervo?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 3 more listed above.

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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