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

Medora Dental LLC

Organization Dental Clinic/Center · NPI 1629945357

Medora Dental LLC is a Dental Clinic/Center in Decatur, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

931 S Marlin Ct
Decatur, IL 62521-5550
Phone: (217) 853-6075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1629945357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Jurgens — Dentist · (217) 853-6075
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address931 S Marlin Ct, Decatur, IL 62521-5550

Other providers in Decatur