is a Dental Clinic in Decatur, Illinois. This organization is also known as sub part of H & H Family Dental Decatur. It is located at 1190 E Pershing Rd, Suite A, Decatur, IL and its contact number is 217-872-2791. The authorized person for is Julie Lipic
who is Office Manager of the clinic and their contact number is 309-662-0523. The primary license number for is 019-025505 (General Practice) in Illinois. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
1190 E Pershing Rd, Suite A, Decatur, Illinois, 62526-4753
Phone:
217-872-2791
Fax:
217-872-4653
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Julie Lipic
Position:
Office Manager
Contact Number:
309-662-0523
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1932643210
Parent Organization:
H & H Family Dental Decatur
NPI Enumeration Date:
06 Dec, 2016
NPI Last Update On:
10 Jan, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
019-025505
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33486
Other
Illinois
Bc/bs Id#
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1190 E Pershing Rd, Suite A Decatur, Illinois
Zip:
62526-4753
Phone Number:
217-872-2791
Fax Number:
217-872-4653
Patients can reach at 1190 E Pershing Rd, Suite A, Decatur, Illinois or can call to book an appointment on 217-872-2791. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.