Jacob Jeffery Worms, DMD

General Practice Dentistry · Peoria, IL

Individual Active NPI

NPI number 1639913619

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-2000

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NPI record

NPI
1639913619
Entity type
Individual (Type 1)
Enumeration date
June 24, 2024
Last updated
June 24, 2024
Certified
June 24, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019035195 IL

Mailing address

726 E Marietta Ave
Peoria Heights, IL 61616-6222
Phone
(309) 713-6951

About Dr. Worms

Jacob Jeffery Worms, DMD 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 1639913619 was assigned on June 24, 2024 and the record was last updated on June 24, 2024.

Dr. Worms lists a license in the registry: #019035195 (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 Jacob Jeffery Worms, DMD?

The NPI number is 1639913619.

What is the phone number of Dr. Worms?

The phone number listed for the practice location is (309) 655-2000.

Where is Dr. Worms located?

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

What is the taxonomy code for Dr. Worms?

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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