Decatur 2012 LLC
Decatur 2012 LLC is a Dental Clinic/Center in Decatur, Illinois. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
141 E Pershing RdDecatur, IL 62526-3213
Phone: (888) 988-4066
Fax: (847) 496-7603
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1306107578 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brandon Taylor — Credentialing Payer Relations Mgr · (847) 453-7396 |
| Other names | Family Dental |
| NPI enumerated | June 5, 2012 |
| Last updated in NPPES | October 15, 2021 |
| Certification date | October 15, 2021 |
| Mailing address | 2050 E Algonquin Rd, Suite 610, Schaumburg, IL 60173-4144 |
Other providers in Decatur
-
Kevin M. Artime DMD Ltd
1353 E Mound Rd Ste 102, Decatur, IL 62526-9345 · (217) 877-1601
-
Medora Dental LLC
931 S Marlin Ct, Decatur, IL 62521-5550 · (217) 853-6075