# HERITAGE FAMILY DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013804285
- **Authorized official:** JAMIE VILK (MANAGER)
- **Authorized official phone:** (217) 549-6928

## Contact information

- **Practice address:** 1858 STAFFORD RD, PLAINFIELD, IN 46168-2339
- **Practice address phone:** (317) 682-0884
- **Mailing address:** 522 E JASPER ST, PARIS, IL 61944-2437
- **Mailing address phone:** (217) 463-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2025
- **Last updated:** 06/20/2025