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Herrin Dental LLC

Herrin Dental LLC is a healthcare organization registered as Dental Clinic/Center in Herrin, IL, holding Type 2 (organization) NPI 1275260218 since 2022. The authorized official on file is Mahmoud Jallad, Owner Dentist.

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NPI 1275260218
Entity type Organization (Type 2)
Legal business name Herrin Dental LLC
Practice address 3024 S PARK AVE, Herrin, IL, 62948
Phone 8333379563
Enumeration date 2022-08-01
Last updated in NPPES 2022-09-03

Authorized official

Name Mahmoud Jallad
Title Owner Dentist
Phone 3343547852

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QD0000X Dental Clinic/Center Primary
Copy-ready billing details
Provider: Herrin Dental LLC
NPI: 1275260218
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 3024 S PARK AVE, Herrin, IL, 62948

Providers at this address

NPI Name Type Specialty Location
1083013171 Mahmoud Jallad Individual Dentist Herrin, IL

Verify this record

Cross-check NPI 1275260218 against the authoritative CMS record: view Herrin Dental LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Herrin Dental LLC located?
The practice location on file with NPPES is in Herrin, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-09-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-09-03.