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FAMILY DENTAL
NPI 1306107578
Clinic/Center - Dental in Decatur, IL

Active since June 05, 2012
141 E PERSHING RD, DECATUR, IL 62526(888) 988-4066(847) 496-7603 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Jun 24, 2021 (2 updates tracked since 2021).

About Family Dental NPPES

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

FAMILY DENTAL (NPI 1306107578) is a healthcare organization registered as a dental in Decatur, Illinois and active in the NPI registry since June 2012. The organization lists Brandon Alexander Taylor, Credentialing Payer Relations Mgr, as its authorized official.

NPPES Registry Identity

NPI1306107578
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDECATUR 2012 LLC
Location Address141 E PERSHING RDDecatur, IL 62526-3213
Mailing Address2050 E Algonquin Rd, Suite 610Schaumburg, IL 60173-4144 · (888) 988-8406 · Fax (847) 496-7603
Phone(888) 988-4066
Fax(847) 496-7603
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing Payer Relations Mgr · (847) 453-7396
Enumeration DateJune 5, 2012
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1306107578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
141 E PERSHING RD, Decatur, IL 62526
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Other Names 1

Doing Business AsFamily Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 8

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

DECATUR 2014
Dentist (General Practice)
141 E PERSHING RD, SUITE 610
DECATUR, IL 62526
Macon County (888) 988-4066
YOUNGTAK CHI DDS
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
DECATUR 2015 LLC
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
KYOUNG YUN LEE D.D.S
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (217) 877-6559
YASHVI FALGUNI DESAI
Student in an Organized Health Care Education/Training Program
141 E PERSHING RD
DECATUR, IL 62526
Macon County (424) 407-6732
DECATUR 2013 LLC
Dentist (General Practice)
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066
ISSA SAHOURI
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (217) 877-6559
ELIZABETH MOORE DMD
Dentist
141 E PERSHING RD
DECATUR, IL 62526
Macon County (888) 988-4066

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 Decatur 2012 LLC's NPI number?

The NPI number for Decatur 2012 LLC is 1306107578. It was assigned to this organization in the NPPES registry on June 5, 2012. The provider is doing business as Family Dental.

Where is Decatur 2012 LLC located?

Decatur 2012 LLC is located at 141 E Pershing Rd, Decatur, IL 62526. The listed phone number is (888) 988-4066.

What is Decatur 2012 LLC's specialty?

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

What insurance does Decatur 2012 LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Decatur 2012 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Decatur 2012 LLC was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.