Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467563809 Individual Practitioner Male Practitioner

Dr. Bryan T. Tervo , DDS

Dentist - General Practice • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Tervo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096249741
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

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: 2026-06-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.036514

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR DF0043

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30.021010

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MI 2901601231

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Yolanda Wright

Dentist - General Practice

NPI 1922372242

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location June 17, 2026

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096249741)

📍
Updated Business Mailing Address June 17, 2026

Registered at 3204 W CYPRESS CREEK DR, DUNLAP, IL 615252514 (Tel: 9713361101)

📍
Updated Practice Location August 29, 2023

Registered at 1011 N UNIVERSITY AVE, ANN ARBOR, MI 481091078 (Tel: 7347636933)

📍
Updated Business Mailing Address August 29, 2023

Registered at 1011 N UNIVERSITY AVE, ANN ARBOR, MI 481091078 (Tel: 7347636933)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Dentist (License #DF0043 in OR)

📍
Updated Business Mailing Address January 25, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948916)

📍
Updated Practice Location January 02, 2019

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948916)

NPI Profile Active August 01, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2007

Registered at 122 E STATE ST, TRENTON, OH 450671528 (Tel: 5139886316)

📍
Updated Business Mailing Address August 01, 2007

Registered at 122 E STATE ST, TRENTON, OH 450671528 (Tel: 5139886316)

👤
Provider Name / Credentials Updated August 01, 2007

Recorded as BRYAN TERVO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2007

Dentist (License #30.021010 in OH)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1467563809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 17, 2026
Sole Proprietor: No

Mailing Address

3204 W Cypress Creek Dr

Dunlap, IL 615252514

Phone: 9713361101

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.