Family Dental | |
141 E Pershing Rd Decatur IL 62526-3213 | |
(888) 988-4066 | |
(847) 496-7603 |
Full Name | Family Dental |
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Speciality | Clinic/center - Dental |
Location | 141 E Pershing Rd, Decatur, Illinois |
Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING PAYER RELATIONS MGR) |
Authorized Official Contact | 8474537396 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental 2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 Ph: (888) 988-8406 | Family Dental 141 E Pershing Rd Decatur IL 62526-3213 Ph: (888) 988-4066 |
NPI Number | 1306107578 |
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Provider Enumeration Date | 06/05/2012 |
Last Update Date | 10/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306107578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Decatur 2014 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Pershing Rd, Suite 610, Decatur, IL 62526 Phone: 888-988-4066 Fax: 847-496-7603 | |
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Jesek, Willhite & Griffin Family Dental Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 S Mount Zion Rd, Decatur, IL 62521 Phone: 217-864-4494 Fax: 217-864-4486 | |
Kevin M. Artime Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1353 E Mound Rd, Suite 102, Decatur, IL 62526 Phone: 217-877-1601 Fax: 217-877-7302 | |
Brandon M. Piper, Dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 W Wood St, Decatur, IL 62522 Phone: 217-428-3512 Fax: 217-428-3525 | |
Decatur 2015 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Pershing Rd, Decatur, IL 62526 Phone: 888-988-4066 Fax: 847-496-7603 |