Organization · Type 2 NPI
Medora Dental LLC
Dental Clinic/Center · Decatur, IL
NPI number
1629945357
Active
Practice location
931 S Marlin Ct
Decatur, IL 62521-5550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Decatur
About NPI 1629945357
Medora Dental LLC's National Provider Identifier is 1629945357, issued on Oct 17, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Decatur, IL. The record was last updated on Oct 17, 2025.