Organization
H & H FAMILY DENTAL, PC
Active
Parent organization
H & H FAMILY DENTAL DECATUR
Other names
Holmes Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
H & H FAMILY DENTAL DECATUR
Authorized official
JULIE LIPIC (OFFICE MANAGER)
(309) 662-0523
Entity
Organization
Contact information
Practice address
1190 E PERSHING RD, SUITE A, DECATUR, IL 62526-4753
(217) 872-2791
(217) 872-4653
Mailing address
1190 E PERSHING RD, SUITE A, DECATUR, IL 62526-4753
(217) 872-2791
(217) 872-4653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025505
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33486
BC/BS ID#
IL
Enumeration date
12/06/2016
Last updated
01/10/2018
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