SearchIllinoisPeriodontics

Ryan Davis, DMD, MS

NPI 1396916649 · on the registry since 2008 · sole proprietor

Practice

Address
1717 W Candletree Dr Ste A
Peoria, IL 61614
Phone
(309) 360-8502
Clinicians at this address
3

Registry record

Primary taxonomy
Periodontics
1223P0300X
Also registered as
Dentist
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-17

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