DECATUR 2012 LLC is a dental clinic center in Decatur, IL. DECATUR 2012 LLC NPI is 1306107578. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Dental.
The provider's business location address is:
141 E PERSHING RD
DECATUR, IL
ZIP 62526-213
Phone: (888) 988-4066
Fax: (847) 496-7603
The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentialing Payer Relations Mgr and has the following contact phone number (847) 453-7396.
The enumeration date for this NPI number is 6/5/2012 and was last updated on 10/15/2021.