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LONG CREEK DENTAL
NPI 1720531759
Dentist - General Practice in Decatur, IL

Active since July 26, 2016
3040 S MOUNT ZION RD, DECATUR, IL 62521(217) 864-4494 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Long Creek Dental NPPES

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

LONG CREEK DENTAL (NPI 1720531759) is a healthcare organization registered as a general practice in Decatur, Illinois and active in the NPI registry since July 2016. The organization lists Heather Pruemer, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1720531759
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.
Location Address3040 S MOUNT ZION RDDecatur, IL 62521-9771
Mailing Address3040 S Mount Zion RdDecatur, IL 62521-9771
Phone(217) 864-4494
Organization SubpartYes
Authorized OfficialHeather PruemerCredentialing Team Lead · (217) 540-8434
Enumeration DateJuly 26, 2016
✔ NPI 1720531759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3040 S MOUNT ZION RD, Decatur, IL 62521
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Other Names 1

Doing Business AsLong Creek Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JESEK & WILLHITE FAMILY DENTAL CARE CENTER
Dentist (General Practice)
3040 S MOUNT ZION RD
DECATUR, IL 62521
Macon County (217) 864-4494
DR. WARREN F JESEK DDS
Dentist (General Practice)
3040 S MOUNT ZION RD
DECATUR, IL 62521
Macon County (217) 864-4494
VIRDA BAIG BDS
Dentist
3040 S MOUNT ZION RD
DECATUR, IL 62521
Macon County (217) 864-4494

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 Dental Professionals Of Illinois, P.C.'s NPI number?

The NPI number for Dental Professionals Of Illinois, P.C. is 1720531759. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Long Creek Dental.

Where is Dental Professionals Of Illinois, P.C. located?

Dental Professionals Of Illinois, P.C. is located at 3040 S Mount Zion Rd, Decatur, IL 62521. The listed phone number is (217) 864-4494.

What is Dental Professionals Of Illinois, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Professionals Of Illinois, P.C. was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.