| Decatur Dental Care | |
|
3737 Us Rt 36 E Decatur IL 62521 | |
| (217) 423-2400 | |
| Not Available |
| Full Name | Decatur Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3737 Us Rt 36 E, Decatur, Illinois |
| Authorized Official Name and Position | Kelly Clark (OWNER/PRESIDENT) |
| Authorized Official Contact | 2174232400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Dental Care 3737 Us Rt 36 E Decatur IL 62521 Ph: (217) 423-2400 | Decatur Dental Care 3737 Us Rt 36 E Decatur IL 62521 Ph: (217) 423-2400 |
| NPI Number | 1982839056 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982839056 | NPI | - | NPPES |
| 1073693883 | Other | IL | BLUE CROSS |
| 1700959020 | Other | IL | BLUE CROSS |
| 1801059100 | Other | IL | BLUE CROSS |
| 1942379458 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060009717 (Illinois) | 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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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 | |
Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 E Pershing Rd, Decatur, IL 62526 Phone: 888-988-4066 Fax: 847-496-7603 | |
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 |