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Dr. Asia Smith-Vernon, RDH

Dentist in Peoria, IL. Individual provider (NPI-1).

NPI number1053783571
StatusActive
Last updated in NPPESJun 22, 2026

Details

NPI
1053783571
Entity type
Individual (NPI-1)
Name
Dr. Asia Smith-Vernon
Credential
RDH
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 23, 2015
Certification date
Jun 22, 2026
Last updated
Jun 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019037238ILYes

Other names

  • Asia Smith-Vernon (Professional Name)

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-655-7171

Mailing address

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 708-328-6935

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