Collin Petoskey, D.D.S
NPI 1851777064 · on the registry since 2015
Practice
- Address
- 7620 N University St Ste 109
Peoria, IL 61614 - Phone
- (309) 693-0043
- Organisation at this address
- Sed8r Inc
Edward C Luan Md Sc
Prairie Surgicare, Llc
National Youth Advocate Program
Prairie Spine And Pain Institute ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-11
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