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MEDORA DENTAL LLC
NPI 1629945357
Clinic/Center - Dental in Decatur, IL

Active since October 17, 2025
931 S MARLIN CT, DECATUR, IL 62521(217) 853-6075 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medora Dental Llc NPPES

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

MEDORA DENTAL LLC (NPI 1629945357) is a healthcare organization registered as a dental in Decatur, Illinois and active in the NPI registry since October 2025. The organization lists Daniel Jurgens, Dentist, as its authorized official.

NPPES Registry Identity

NPI1629945357
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMEDORA DENTAL LLC
Location Address931 S MARLIN CTDecatur, IL 62521-5550
Mailing Address931 S Marlin CtDecatur, IL 62521-5550
Phone(217) 853-6075
Organization SubpartNo
Authorized OfficialDaniel JurgensDentist · (217) 853-6075
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1629945357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
931 S MARLIN CT, Decatur, IL 62521
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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 Medora Dental LLC's NPI number?

The NPI number for Medora Dental LLC is 1629945357. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Medora Dental LLC located?

Medora Dental LLC is located at 931 S Marlin Ct, Decatur, IL 62521. The listed phone number is (217) 853-6075.

What is Medora 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 Medora Dental LLC was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.