Donlan Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023386 Issued in IL

Legal business name

DONLAN DENTAL GROUP

Practice address

843 W Glen Ave
Peoria, IL 61614-4834

Phone

(309) 691-9421

NPI assigned

Dec 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Eward Donlan, D.D.S.NPI 1922438068

Title

Owner

Phone

(309) 691-9421

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Edward Donlan, DDS

  • General Practice Dentistry
  • Peoria, IL
  • NPI 1922438068
  NPD (past) Authorized official
• Katherine Mae Shadid, DMD

  • Dentist
  • Peoria, IL
  • NPI 1144066747
  NPD (past)
• Nicole Marie Sudholt, D.M.D.

  • Dentist
  • Peoria, IL
  • NPI 1184915431
  NPD (past)

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1306902499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144834",
            "telephone_number": "309-691-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144834",
            "telephone_number": "309-691-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONLAN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "DONLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-691-9421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Taymon Domzalski, MD
• Janine E. Donahue, M.D.
• Kathleen Donahue
• Steven Dondlinger, M.D.
• Jianming Dong, MD
• Allison Elaine Donlan, DMD
• John Edward Donlan, DDS
• Laura Jeanne Donlan, D.D.S.
• Jacob Donley
• John Thomas Dooley, MD

• General Practice Dentistry in Peoria, IL
• Providers in Peoria, 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 Sep 5, 2008; 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.