Christa Yvette Spates, D.D.S.

Pediatric Dentistry · Peoria, IL

Individual Active NPI

NPI number 1952472276

Practice location

1320 W Northmoor Rd
Peoria, IL 61614-3470
Phone
(309) 690-3368
Fax
(309) 691-6326

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NPI record

NPI
1952472276
Entity type
Individual (Type 1)
Enumeration date
November 10, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 01923199 IL

About Dr. Spates

Christa Yvette Spates, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1320 W Northmoor Rd, Peoria, IL 61614-3470. The NPI number 1952472276 was assigned on November 10, 2006 and the record was last updated on July 8, 2007.

Dr. Spates lists a license in the registry: #01923199 (IL) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Christa Yvette Spates, D.D.S.?

The NPI number is 1952472276.

What is the phone number of Dr. Spates?

The phone number listed for the practice location is (309) 690-3368.

Where is Dr. Spates located?

1320 W Northmoor Rd, Peoria, IL 61614-3470.

What is the taxonomy code for Dr. Spates?

The primary taxonomy code is 1223P0221X – Pediatric 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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