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Active NPI 1790673630 Individual Practitioner Female Practitioner

Dr. Carmen Espino , DMD

Dentist - General Practice • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Carmen Espino, DMD 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 3096244012
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: 2025-06-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019036104

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

2 Associated Practitioners
Dr. Adriana Mendez-Francia , DMD

Dentist - General Practice

NPI 1700774643

Doctor of Dental Medicine

Dr. Steven Evelhoch , MD

Oral & Maxillofacial Surgery

NPI 1972667160

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 27, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2025

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096244012)

📍
Updated Business Mailing Address June 27, 2025

Registered at 4556 W WRIGHTWOOD AVE, CHICAGO, IL 606391922 (Tel: 7738860627)

👤
Provider Name / Credentials Updated June 27, 2025

Recorded as CARMEN ESPINO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2025

Dentist (License #019036104 in IL)

🟢
Initial NPI Registration & Enumeration June 27, 2025

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: 1790673630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2025
Last Update: June 27, 2025
Sole Proprietor: Yes

Mailing Address

4556 W Wrightwood Ave

Chicago, IL 606391922

Phone: 7738860627

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.