Healthcare Provider Details

I. General information

NPI: 1295670404
Provider Name (Legal Business Name): HESS DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S MAIN ST
RED BUD IL
62278-1109
US

IV. Provider business mailing address

307 S MAIN ST
RED BUD IL
62278-1109
US

V. Phone/Fax

Practice location:
  • Phone: 618-282-4466
  • Fax:
Mailing address:
  • Phone: 618-282-4466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELAINA HOPE HESS
Title or Position: DENTIST
Credential: DMD
Phone: 618-282-4466