Provider Demographics
NPI:1730069188
Name:DONLAN, ALLISON ELAINE (DMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELAINE
Last Name:DONLAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7314 N WILLOW LAKE CT STE D
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-8289
Mailing Address - Country:US
Mailing Address - Phone:309-692-0175
Mailing Address - Fax:
Practice Address - Street 1:7314 N WILLOW LAKE CT STE D
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-8289
Practice Address - Country:US
Practice Address - Phone:309-692-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.036132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist