HERRIN DENTAL LLC
NPI 1275260218
Clinic/Center - Dental in Herrin, IL

Active since August 01, 2022
3024 S PARK AVE, HERRIN, IL 62948(833) 337-9563 Get Directions Write a Review

NPPES record last updated: September 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2022, Aug 1, 2022 (2 updates tracked since 2022).

About Herrin Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERRIN DENTAL LLC (NPI 1275260218), doing business as Weekend Dental, is a healthcare organization registered as a dental in Herrin, Illinois and active in the NPI registry since August 2022. The organization lists Mahmoud Jallad, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1275260218
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameHERRIN DENTAL LLC
Location Address3024 S PARK AVEHerrin, IL 62948-3721
Mailing Address3205 Arabian CtHerrin, IL 62948-3788 · (334) 354-7852
Organization SubpartNo
Authorized OfficialMahmoud JalladOwner Dentist · (334) 354-7852
Enumeration DateAugust 1, 2022
Last NPPES UpdateSeptember 3, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2022
NPI 1275260218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3024 S PARK AVE, Herrin, IL 62948

Other Names 1

Doing Business AsWeekend Dental

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3024 S PARK AVE
HERRIN, IL 62948
Dentist (General Practice)
3024 S PARK AVE
HERRIN, IL 62948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Herrin Dental LLC's NPI number?

The NPI number for Herrin Dental LLC is 1275260218. It was assigned to this organization in the NPPES registry on August 1, 2022. The provider is doing business as Weekend Dental.

Where is Herrin Dental LLC located?

Herrin Dental LLC is located at 3024 S Park Ave, Herrin, IL 62948. The listed phone number is (833) 337-9563.

What is Herrin Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Herrin Dental LLC was last updated on September 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.