Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396810123 Individual Practitioner Male Practitioner

Dr. Kevin T. Nelson , DDS

Dentist - General Practice • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Nelson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Peoria, IL. Practice services are available at 1116 W LOUCKS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1116 W Loucks Ave

Peoria, IL 616042677

Telephone 3096882112
Fax 3096889776

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

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 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1116 W LOUCKS AVE, PEORIA, IL 616042677 (Tel: 3096882112)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1116 W LOUCKS AVE, PEORIA, IL 616042677 (Tel: 3096882112)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KEVIN NELSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration November 20, 2006

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: 1396810123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1116 W Loucks Ave

Peoria, IL 616042677

Phone: 3096882112

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.