OrganizationActive
Martin Ruelas, DMD, PC
NPI 1104098078 · General Practice Dentistry · Peoria, IL
Provider details
- NPI number
- 1104098078
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Martin Ruelas, Dentist(309) 243-8455
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10330 N Juliet Ct
Peoria, IL 61615-1199
Phone: (309) 243-8455
Fax: (309) 243-8466
Street-level locationGet directions
Mailing address
Po Box 9423
Peoria, IL 61612-9423
Registry dates
- Enumerated
- 2008-03-31
- Last updated
- 2008-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.