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Maple Shade Dental (East Peoria) LLC

Dentist in East Peoria, IL · enumerated 2011 · authorized official Mike Cole, Insurance Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245522267

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Registry record

Entity type Organization (Type 2)
Legal business name Maple Shade Dental (East Peoria) LLC
Practice address 1001 Illini Dr, East Peoria, IL, 61611
Phone (309) 694-2620
Enumeration date May 10, 2011
Last updated in NPPES Mar 18, 2024

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Mike Cole
Title Insurance Director
Phone (727) 726-1611

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Maple Shade Dental (East Peoria) LLC?
NPPES lists Mike Cole (Insurance Director) as the authorized official for this organization.
What is the NPI number for Maple Shade Dental (East Peoria) LLC?
The NPI for Maple Shade Dental (East Peoria) LLC is 1245522267, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-18.