Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eureka Family Dental PC

Organization Dentist · NPI 1396282240

Eureka Family Dental PC provides Dentist services in Eureka, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 S Main St
Eureka, IL 61530-1663
Phone: (309) 467-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019023704 (IL)
Dentist Taxonomy 122300000X · Licence 019028324 (IL)

Record details

NPI number1396282240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Moon — Co-Owner · (309) 467-3515
NPI enumeratedJanuary 30, 2017
Last updated in NPPESJanuary 30, 2017
Mailing address2000 S Main St, Eureka, IL 61530-1663

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