OrganizationActive
Pine Glen Dental Group, Ltd
NPI 1659589299 · General Practice Dentistry · Peoria, IL
Pine Glen Dental Group, Ltd is a General Practice Dentistry organization in Peoria, IL (NPI 1659589299).
Provider details
- NPI number
- 1659589299
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Robert Pollard, President(309) 691-1990
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
838 W Glen Ave
Peoria, IL 61614-4835
Phone: (309) 691-1990
Fax: (309) 691-9112
Street-level locationGet directions
Mailing address
838 W Glen Ave
Peoria, IL 61614-4835
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pine Glen Dental Group, Ltd's NPI number?
- Pine Glen Dental Group, Ltd's National Provider Identifier (NPI) is 1659589299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Glen Dental Group, Ltd?
- Pine Glen Dental Group, Ltd is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pine Glen Dental Group, Ltd located?
- Pine Glen Dental Group, Ltd's practice location on file with NPPES is 838 W Glen Ave, Peoria, IL 61614-4835.
- What is Pine Glen Dental Group, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Pine Glen Dental Group, Ltd is (309) 691-1990.
- Who is the authorized official for Pine Glen Dental Group, Ltd?
- The authorized official listed on Pine Glen Dental Group, Ltd's NPPES record is Robert Pollard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Glen Dental Group, Ltd's NPI active?
- Yes — Pine Glen Dental Group, Ltd's NPI (1659589299) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.