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FAMILIA DENTAL ESL 4LLC
NPI 1013283126
Dentist - General Practice in East Saint Louis, IL

Active since March 23, 2012
2608 STATE ST, EAST SAINT LOUIS, IL 62205(888) 988-4066(847) 496-7202 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Familia Dental Esl 4llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILIA DENTAL ESL 4LLC (NPI 1013283126) is a healthcare organization registered as a general practice in East Saint Louis, Illinois and active in the NPI registry since March 2012. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1013283126
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILIA DENTAL ESL 4LLC
Location Address2608 STATE STEast Saint Louis, IL 62205-2325
Mailing Address2050 E Algonquin Rd, 610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-7202
Phone(888) 988-4066
Fax(847) 496-7202
Organization SubpartNo
Authorized OfficialKoushan AzadPresident · (888) 988-4066
Enumeration DateMarch 23, 2012
✔ NPI 1013283126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019026920
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2608 STATE ST, East Saint Louis, IL 62205
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARYANA F KIROLOS D.D.S.
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 857-2300
DR. KIRSTEN KARKOW DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 857-2300
FAMILIA DENTAL ESL 3 LLC
Dentist
2608 STATE ST
E SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066
FAMILIA DENTAL ESL 2 LLC
Dentist (General Practice)
2608 STATE ST
E SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066
FAMILIA DENTAL ESL 4 LLC
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Familia Dental Esl 4llc's NPI number?

The NPI number for Familia Dental Esl 4llc is 1013283126. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is Familia Dental Esl 4llc located?

Familia Dental Esl 4llc is located at 2608 State St, East Saint Louis, IL 62205. The listed phone number is (888) 988-4066.

What is Familia Dental Esl 4llc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Familia Dental Esl 4llc was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.