Dr. Shruti Sivakumar , DDS
Dentist - General Practice • Peoria, IL
Professional Overview & Biography Verified Profile Summary
Dr. Shruti Sivakumar, 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
530 Ne Glen Oak Ave
Peoria, IL 616370001
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
CMS Verified: 2026-06-24NUCC 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
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Pediatrics
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Acute Care
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)
Registered at 16859 YELLOWSTONE DR, NORTHVILLE, MI 481686846 (Tel: 2487198509)
Recorded as SHRUTI SIVAKUMAR, DDS
Dentist (License #019.037230 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
16859 Yellowstone Dr
Northville, MI 481686846
Phone: 2487198509
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