DR. DANIEL PATRICK JURGENS


Address: 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174
Phone: 2174227448

DR. DANIEL PATRICK JURGENS (NPI# 1548870884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548870884
Entity Type Individual
Full Name DR. DANIEL PATRICK JURGENS
Credential DMD
Practice Address 2 N Country Club Rd Ste 2
Decatur
IL 62521-4174
Practice Telephone 2174227448
Mailing Telephone 2174227448
Enumeration Date 2020-08-02
Last Update Date 2020-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019.032716 IL Dental Providers

Office Location

Street Address 2 N COUNTRY CLUB RD STE 2
City DECATUR
State IL
Zip Code 62521-4174

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1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
1003188913 Evergreen Place Decatur, LLC Assisted Living Facility 4825 E Evergreen Court, Decatur, IL 62521 2012-02-08
1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134744576 Dafna Lapidot Dentist 1074 Vistavia Cir, Decatur, GA 30033-3413 2020-06-11
1184140121 Access Dental Care, LLC Dentist 1621 Wolverine Dr Se, Decatur, AL 35601-4933 2017-08-22
1154868917 North Decatur Dentistry, PC Dentist 2570 Blackmon Drive, Suite 320, Decatur, GA 30033 2017-01-31
1245645084 Mobile Dental Services of Alabama PC Dentist 3231 Fieldstone Dr Sw, Decatur, AL 35603-3173 2014-06-30
1619317518 Jieun Jun Dentist 2450 Lawrenceville Hwy Ste 100, Decatur, GA 30033-3269 2013-06-25
1366794711 Complete Dental Decatur LLC Dentist 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 2012-10-10
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1467731679 David Gatti Corless Dentist 301 W. Main St., Decatur, TX 76234 2011-08-05
1598092801 Brandon Michael Piper Dentist 469 W Wood St, Decatur, IL 62522-3109 2009-11-06
1952530131 Jassen Allen Anthony Dentist 466 Highway 67 S, Decatur, AL 35603-6300 2009-07-08
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Competitor

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City DECATUR
Zip Code 62521

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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