Carla C. Couri, D.M.D., LTD.
Organization Active NPI General Practice Dentistry · Peoria, IL
NPI 1457554552 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1457554552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- CARLA C. COURI, D.M.D., LTD.
- Practice address
- 4408 N Knoxville Ave
Suite D
Peoria, IL 61614-6084 - Phone
- (309) 682-5522
- Fax
- (309) 682-7698
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carla Catherine Couri, D.M.D.
- Title
- Owner
- Phone
- (309) 682-5522
Practitioners 2
-
Carla C Couri, D.M.D.
-
Robert Kenton Gilmore, D.M.D.
National Provider Directory
Locations
4408 N Knoxville Ave
Ste D
Peoria, IL 61614
Phone (309) 682-5522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | IL | Yes |
Addresses
Primary practice location
4408 N Knoxville Ave
Suite D
Peoria, IL 61614-6084
Mailing address
4408 N Knoxville Ave
Suite D
Peoria, IL 61614-6084
Phone (309) 682-5522
Other providers in Peoria, IL
- Cardinal Medical Group, LTD.
- Cardiosom, LLC
- Care Planning Institute, Inc
- Care Solutions Home Services LLC
- Christina Lucia Rosa Carfagnini
- Jessa Carlson
- Judy Anne Carlson
- Kaitlin Carlson
- Michelle L Carlson
- Wade Carlson
All providers in Peoria, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.