Dr. Gregory H. Wahl , DDS
Dentist - General Practice • Peoria, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Wahl has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gregory Wahl, DDS was a registered Dentist - General Practice practicing in Peoria, IL. Throughout an active medical career spanning 19 years, Dr. Wahl provided care at the practice location at 2001 W WILLOW KNOLLS DR until profile deactivation on 2025-08-28.
Practice Location & Contact Primary Location
2001 W Willow Knolls Dr
Suite 202
Peoria, IL 616141290
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Peoria, IL
Practicing in Peoria, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Speech-Language Pathologist
Master of Science, CCCSLPL
Dentist - General Practice
Doctor of Dental Surgery
Speech-Language Pathologist
Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L
Counselor - Mental Health
Licensed Clinical Professional Counselor
Speech-Language Pathologist
Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L
Counselor - Professional
Licensed Clinical Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 28, 2025
NPI status registered as active in NPPES database
Registered at 2001 W WILLOW KNOLLS DR, SUITE 202, PEORIA, IL 616141290 (Tel: 3096913636)
Registered at 2001 W WILLOW KNOLLS DR, SUITE 202, PEORIA, IL 616141290 (Tel: 3096913636)
Recorded as GREGORY WAHL, DDS
Dentist (License #19A15296 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2001 W Willow Knolls Dr, Suite 202
Peoria, IL 616141290
Phone: 3096913636
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