SearchIllinoisDentist

Nicole Sudholt, D.M.D

NPI 1184915431 · on the registry since 2011

Practice

Address
843 W Glen Ave
Peoria, IL 61614
Phone
(309) 691-9421
Organisation at this address
Donlan Dental Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois