Erick Quintana Raya, DMD
Dentist · Peoria, IL
Practice location
530 NE Glen Oak AvePeoria, IL 61637-0001
- Phone
- (309) 624-2411
NPI record
- NPI
- 1851918809
- Entity type
- Individual (Type 1)
- Enumeration date
- June 25, 2020
- Last updated
- June 25, 2020
- Certified
- June 25, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019.032614 | IL |
Mailing address
2401 W Alta Rd Apt 2102Peoria, IL 61615-4602
- Phone
- (815) 878-4033
About Dr. Quintana Raya
Erick Quintana Raya, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 530 NE Glen Oak Ave, Peoria, IL 61637-0001. The NPI number 1851918809 was assigned on June 25, 2020 and the record was last updated on June 25, 2020.
Dr. Quintana Raya lists a license in the registry: #019.032614 (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 Erick Quintana Raya, DMD?
The NPI number is 1851918809.
What is the phone number of Dr. Quintana Raya?
The phone number listed for the practice location is (309) 624-2411.
Where is Dr. Quintana Raya located?
530 NE Glen Oak Ave, Peoria, IL 61637-0001.
What is the taxonomy code for Dr. Quintana Raya?
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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