Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124699657 Individual Practitioner Male Practitioner

Dr. Jacob Ryan Krisher , DMD

Dentist - General Practice • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Krisher, DMD is a registered healthcare professional specializing in Dentist - General Practice in Peoria, IL. Practice services are available at 3316 N AVALON PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3316 N Avalon Pl

Peoria, IL 616041472

Telephone 3093350531

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
74 Specialists

Practicing in Peoria, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019033284

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2021

Registered at 3316 N AVALON PL, PEORIA, IL 616041472 (Tel: 3093350531)

📍
Updated Business Mailing Address July 06, 2021

Registered at 1318 W CANDLETREE DR STE 2, PEORIA, IL 616148509 (Tel: 3096926206)

👤
Provider Name / Credentials Updated July 06, 2021

Recorded as JACOB KRISHER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Dentist (License #019033284 in IL)

🟢
Initial NPI Registration & Enumeration July 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124699657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2021
Last Update: July 06, 2021
Sole Proprietor: No

Mailing Address

1318 W Candletree Dr Ste 2

Peoria, IL 616148509

Phone: 3096926206

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.