DR. RANDY CURTIS KNEEZEL (NPI# 1740371905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740371905 |
| Entity Type | Individual |
| Full Name | DR. RANDY CURTIS KNEEZEL |
| Credential | DMD |
| Practice Address |
334 W Main Decatur IL 62522 |
| Practice Telephone | 2174284683 |
| Practice Fax Number | 2174284738 |
| Mailing Telephone | 2174284683 |
| Mailing Fax Number | 2174284738 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
IL | Dental Providers |
| Street Address |
334 W MAIN |
| City | DECATUR |
| State | IL |
| Zip Code | 62522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| 1215011713 | Carl Edward Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
| 1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
| 1083131973 | Casey Eichenauer | Nurse Practitioner | 330 N Wyckles Rd, Decatur, IL 62522-1034 | 2017-08-23 |
| 1588279731 | Alison Lynne Fornoff | Nurse Practitioner | 330 N Wyckles Rd, Decatur, IL 62522-1034 | 2020-09-14 |
| Find all providers in zip 62522 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396991899 | Sam Enoch Pruett Jr. | Dentist | 2816 Bunny Ln Sw, Decatur, AL 35603-4250 | 2008-08-15 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1255543161 | William Floyd Littlejohn Jr. | Dentist | 2023 Danville Park Dr Sw, Decatur, AL 35603-1833 | 2007-05-04 |
| 1700822020 | Michael Shane Stevenson | Dentist | 1401 Stratford Rd Se, Decatur, AL 35601-6022 | 2006-06-22 |
| 1922056282 | Leroy Loving Jr. | Dentist | 2352 Candler Rd, Decatur, GA 30032-6406 | 2006-05-05 |
| 1215164124 | Jennifer Dawn Okhiria | Dentist | 200 E Ponce De Leon Ave, Decatur, GA 30030 | 2009-06-18 |
| 1477711786 | Georgia Oral Surgery | Dentist | 755 Commerce Dr, Suite A, Decatur, GA 30030-2627 | 2008-05-23 |
| 1558498295 | John Howard Muse | Dentist | 755 Commerce Dr, Suite A, Decatur, GA 30030-2627 | 2007-02-28 |
| 1831257120 | Gillian C Jones | Dentist | 200 E Ponce De Leon Ave, Ste 300, Decatur, GA 30030-3469 | 2006-12-05 |
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| Find all providers in DECATUR | ||||
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| 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.