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Maple Shade Dental Camp Street LLC

Dentist in East Peoria, IL · enumerated 2012 · authorized official Mike Cole, Insurance Director.

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

National Provider Identifier

1497003156

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Registry record

Entity type Organization (Type 2)
Legal business name Maple Shade Dental Camp Street LLC
Practice address 809 W Camp St, East Peoria, IL, 61611
Phone (309) 694-0606
Enumeration date Aug 28, 2012
Last updated in NPPES Aug 28, 2012

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

What is the NPI number for Maple Shade Dental Camp Street LLC?
The NPI for Maple Shade Dental Camp Street LLC is 1497003156, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Maple Shade Dental Camp Street LLC?
NPPES lists Mike Cole (Insurance Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-28.