SearchIllinoisGeneral Practice Dentistry

Pramod Tadakamalla, DDS

NPI 1629591854 · on the registry since 2017

Practice

Address
3510 N University St Ste C
Peoria, IL 61604
Phone
(309) 271-7777
Fax
(309) 324-5777
Organisation at this address
Vogue Dental Peoria Llc
Affinity Dental Peoria Llc
Access Dental Of Peoria Vogue Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Dentist
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-01

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