Bruce Edward Mathes, DDS
General Practice Dentistry · Peoria, IL
Practice location
121 E Lake AveSte G
Peoria, IL 61614-6182
- Phone
- (309) 685-2112
- Fax
- (309) 688-7393
NPI record
- NPI
- 1992893614
- Entity type
- Individual (Type 1)
- Enumeration date
- October 10, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
— | IL |
About Dr. Mathes
Bruce Edward Mathes, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 121 E Lake Ave, Ste G, Peoria, IL 61614-6182. The NPI number 1992893614 was assigned on October 10, 2006 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Bruce Edward Mathes, DDS?
The NPI number is 1992893614.
What is the phone number of Dr. Mathes?
The phone number listed for the practice location is (309) 685-2112.
Where is Dr. Mathes located?
121 E Lake Ave, Ste G, Peoria, IL 61614-6182.
What is the taxonomy code for Dr. Mathes?
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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