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Central Illinois Center for Tmj and Facial Pain, P.C.

Dentist in East Peoria, IL · enumerated 2011 · authorized official Jack Walz, Provider.

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

National Provider Identifier

1346546421

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Registry record

Entity type Organization (Type 2)
Legal business name Central Illinois Center for Tmj and Facial Pain, P.C.
Practice address 731 Sabrina Dr, Suite A, East Peoria, IL, 61611
Phone (309) 699-1300
Enumeration date Feb 7, 2011
Last updated in NPPES Sep 30, 2013

Taxonomy & classification

122300000X Dentist Dental Providers · License 019021995 (IL) Primary

Authorized official

Name Jack Walz
Title Provider
Phone (309) 699-1300

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

What type of organization is Central Illinois Center for Tmj and Facial Pain, P.C.?
Central Illinois Center for Tmj and Facial Pain, P.C. is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-30.