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Active NPI 1851777064 Individual Practitioner Male Practitioner

Dr. Collin Petoskey , DDS

Dentist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Collin Petoskey, DDS is a registered healthcare professional specializing in Dentist in Peoria, IL. Practice services are available at 7620 N UNIVERSITY ST STE 109 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7620 N University St Ste 109

Peoria, IL 616148300

Telephone 3096930043
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Peoria, IL (4751 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.030409

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1326108846

Doctor of Dental Surgery

Dr. Micah Roberts , DMD

Dentist - General Practice

NPI 1760746747

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2015

Registered at 7620 N UNIVERSITY ST STE 109, PEORIA, IL 616148300 (Tel: 3096930043)

📍
Updated Business Mailing Address August 11, 2015

Registered at 602 W MOUNT HAWLEY TER, PEORIA, IL 616152141 (Tel: 3096930043)

👤
Provider Name / Credentials Updated August 11, 2015

Recorded as COLLIN PETOSKEY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Dentist (License #019.030409 in IL)

🟢
Initial NPI Registration & Enumeration August 11, 2015

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: 1851777064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2015
Last Update: August 11, 2015
Sole Proprietor: No

Mailing Address

602 W Mount Hawley Ter

Peoria, IL 616152141

Phone: 3096930043

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.