OrganizationActive
Medora Dental LLC
NPI 1629945357 · Dental Clinic/Center · Decatur, IL
Medora Dental LLC is a Dental Clinic/Center organization in Decatur, IL (NPI 1629945357).
Provider details
- NPI number
- 1629945357
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Jurgens, Dentist(217) 853-6075
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
931 S Marlin Ct
Decatur, IL 62521-5550
Phone: (217) 853-6075
Street-level locationGet directions
Mailing address
931 S Marlin Ct
Decatur, IL 62521-5550
Registry dates
- Enumerated
- 2025-10-17
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Frequently asked questions
- What is Medora Dental LLC's NPI number?
- Medora Dental LLC's National Provider Identifier (NPI) is 1629945357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medora Dental LLC?
- Medora Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medora Dental LLC located?
- Medora Dental LLC's practice location on file with NPPES is 931 S Marlin Ct, Decatur, IL 62521-5550.
- What is Medora Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Medora Dental LLC is (217) 853-6075.
- Who is the authorized official for Medora Dental LLC?
- The authorized official listed on Medora Dental LLC's NPPES record is Daniel Jurgens, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medora Dental LLC's NPI active?
- Yes — Medora Dental LLC's NPI (1629945357) is active in the NPPES registry as of the last update on 2025-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.