Affinity Dental Peoria Heights LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFINITY DENTAL PEORIA HEIGHTS LLC

Practice address

4450 N Prospect Rd Ste S5
Peoria Heights, IL 61616-6578

Phone

(309) 327-3333

Fax

(309) 561-7333

NPI assigned

May 5, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Srinivas Durshanapalli, DDS

Title

President

Phone

(888) 244-8899

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1093642001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 N PROSPECT RD STE S5",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166578",
            "telephone_number": "309-327-3333",
            "fax_number": "309-561-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 N PROSPECT RD STE S5",
            "city": "PEORIA HEIGHTS",
            "state": "IL",
            "postal_code": "616166578",
            "telephone_number": "309-327-3333",
            "fax_number": "309-561-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY DENTAL PEORIA HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "DURSHANAPALLI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-244-8899",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Sue Anderson, SOCIAL WORKER
• Aperion Care Peoria Heights LLC
• Aperion Care Peoria Heights LLC
• Asclepius Illinois LLC
• Associated Anesthesiologists

• General Practice Dentistry in Peoria Heights, IL
• Providers in Peoria Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.