OrganizationActive
Secure Dental V
NPI 1629506043 · Dental Clinic/Center · East Peoria, IL
Secure Dental V is a Dental Clinic/Center organization in East Peoria, IL (NPI 1629506043).
Provider details
- NPI number
- 1629506043
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Noel Liu, Owner Dentist(815) 670-2923
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
504 Riverside Dr
East Peoria, IL 61611-2068
Phone: (309) 681-8888
Street-level locationGet directions
Mailing address
309 Brookstone Dr
East Peoria, IL 61611-8300
Registry dates
- Enumerated
- 2017-05-30
- Last updated
- 2017-05-30
Frequently asked questions
- What is Secure Dental V's NPI number?
- Secure Dental V's National Provider Identifier (NPI) is 1629506043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Secure Dental V?
- Secure Dental V is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Secure Dental V located?
- Secure Dental V's practice location on file with NPPES is 504 Riverside Dr, East Peoria, IL 61611-2068.
- What is Secure Dental V's phone number?
- The practice phone number listed in the NPPES registry for Secure Dental V is (309) 681-8888.
- Who is the authorized official for Secure Dental V?
- The authorized official listed on Secure Dental V's NPPES record is Noel Liu, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Secure Dental V's NPI active?
- Yes — Secure Dental V's NPI (1629506043) is active in the NPPES registry as of the last update on 2017-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.