OrganizationActive
Associated Oral and Maxillofacial Surgeons of Peoria, Ltd
NPI 1154357291 · Oral and Maxillofacial Surgery (Dentist) · Peoria, IL
Provider details
- NPI number
- 1154357291
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Robyn Wolfe, Practice Leader(309) 682-1249
- License
- 019023700 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5720 N Knoxville Ave
Peoria, IL 61614-4331
Phone: (309) 682-1213
Fax: (309) 682-5386
Street-level locationGet directions
Mailing address
5720 N Knoxville Ave
Peoria, IL 61614-4331
Other names (DBA / former)
- Other name
- Associated Oral Surgeons
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.