Collin Petoskey, D.D.S.
Dentist · Peoria, IL
Practice location
7620 N University St Ste 109Peoria, IL 61614-8300
- Phone
- (309) 693-0043
NPI record
- NPI
- 1851777064
- Entity type
- Individual (Type 1)
- Enumeration date
- August 11, 2015
- Last updated
- August 11, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019.030409 | IL |
Mailing address
602 W Mount Hawley TerPeoria, IL 61615-2141
- Phone
- (309) 693-0043
About Dr. Petoskey
Collin Petoskey, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7620 N University St Ste 109, Peoria, IL 61614-8300. The NPI number 1851777064 was assigned on August 11, 2015 and the record was last updated on August 11, 2015.
Dr. Petoskey lists a license in the registry: #019.030409 (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 Collin Petoskey, D.D.S.?
The NPI number is 1851777064.
What is the phone number of Dr. Petoskey?
The phone number listed for the practice location is (309) 693-0043.
Where is Dr. Petoskey located?
7620 N University St Ste 109, Peoria, IL 61614-8300.
What is the taxonomy code for Dr. Petoskey?
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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