Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Decatur 2014

Organization General Practice Dentistry · NPI 1003179482

Decatur 2014 is a General Practice Dentistry in Decatur, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

141 E Pershing Rd Ste 610
Decatur, IL 62526-3213
Phone: (888) 988-4066
Fax: (847) 496-7603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1003179482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koushan Azad — Oenwr /President · (888) 988-4066
NPI enumeratedJune 20, 2012
Last updated in NPPESJune 20, 2012
Mailing address2050 E Algonquin Rd, Suite 610, Schaumburg, IL 60173-4144

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