FHN MEMORIAL ENTERPRISES NPI 1649210352

NPI Information

  • NPI: 1649210352
  • Provider Name: FHN MEMORIAL ENTERPRISES
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: FAMILY DENTAL CARE
  • Address: 1768 S ROSENSTIEL DR
    FREEPORT, IL
    ZIP 61032
  • Phone: (815) 235-2600

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NPI Details

FHN MEMORIAL ENTERPRISES is a general practice dentist in Freeport, IL. The provider is 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. FHN MEMORIAL ENTERPRISES NPI is 1649210352. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Dental Care.

The provider's business location address is:

1768 S ROSENSTIEL DR
FREEPORT, IL
ZIP 61032
Phone: (815) 235-2600
Fax: (815) 235-9846

The provider's authorized official is Michael Perry .
The authorized official title is C.e.o. and has the following contact phone number (815) 235-2600.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11004800MEDICAIDILLINOIS
21005536MEDICAIDILLINOIS
39178466MEDICAIDILLINOIS
49177538MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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