FAMILY DENTAL CARE
NPI 1053706481
Dentist - General Practice in Waukegan, IL

Active since April 02, 2015
2841 GRAND AVE, WAUKEGAN, IL 60085(847) 360-1610(847) 360-1689 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About FAMILY DENTAL CARE

This page provides the complete NPI Profile along with additional information for Family Dental Care, a provider established in Waukegan, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1053706481 assigned on April 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 019021973 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Family Dental Care. The authorized official of this NPI record is Ms. Brusela F. Villa (Generalist/assistant Bookkeeper)

NPI
1053706481 Verify this NPI
Provider Legal Name
JOSE VILLA DDS PC
Other Organization Name
FAMILY DENTAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2841 GRAND AVE WAUKEGAN, IL 60085
Location Phone
(847) 360-1610
Location Fax
(847) 360-1689
Mailing Address
2841 GRAND AVE WAUKEGAN, IL 60085
Mailing Phone
(847) 360-1610
Mailing Fax
(847) 360-1689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2015
Last Update Date
04-02-2015
Code Navigator

A dentist like Family Dental Care is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
019021973
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. BRUSELA F. VILLA

Authorized Official Title
GENERALIST/ASSISTANT BOOKKEEPER
Authorized Official Phone
(773) 458-4443

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053706481, enumerated as an "organization" on April 02, 2015.

The provider is located at 2841 GRAND AVE WAUKEGAN, IL 60085 and the phone number is (847) 360-1610.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.