Clinton Family Dental – Dentist in Clinton, IL

Key facts

NPI: 1750730271
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 019.030221 (IL)
Legal business name: CLINTON FAMILY DENTAL
Practice address: 321 Illini Dr
Clinton, IL 61727-9771
Phone: (217) 935-5397
NPI assigned: Jun 6, 2016
Organization subpart: No

Authorized official

Name: Dr. Mark Alan Hobbie, D.M.D. NPI 1972987303
Title: Dentist
Phone: (217) 313-6718

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Mark A Hobbie, DMD General Practice Dentistry · Clinton, IL · NPI 1972987303

NPD (past) Authorized official
Monica Mary Degrauwe Dentist · Clinton, IL · NPI 1548347784

NPD (past) DENTIST
Terry Grant England Dentist · Clinton, IL · NPI 1275610412

NPD (past) DENTIST
Kristi L. Hobbie, D.M.D. Dentist · Clinton, IL · NPI 1104294883

NPD (past) DENTIST

National Provider Directory

Locations

321 Illini Dr
Clinton, IL 61727
Phone (217) 935-5397

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X	019.030221	IL	Yes

Addresses

Primary practice location

321 Illini Dr
Clinton, IL 61727-9771

Mailing address

PO Box 618
Clinton, IL 61727-0618
Phone (217) 935-5397

Other providers in Clinton, IL

All providers in Clinton, IL · Dentist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.