Provider Demographics
NPI:1598088304
Name:THE HOPE SCHOOL
Entity Type:Organization
Organization Name:THE HOPE SCHOOL
Other - Org Name:THE NOLL DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:NYRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:217-585-5166
Mailing Address - Street 1:15 E HAZEL DELL LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62712-4210
Mailing Address - Country:US
Mailing Address - Phone:217-585-5437
Mailing Address - Fax:217-786-3356
Practice Address - Street 1:5220 S 6TH STREET RD
Practice Address - Street 2:SUITE 2100
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-5735
Practice Address - Country:US
Practice Address - Phone:217-588-7640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HOPE SCHOOL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027440261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental