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.

About Family Dental Care NPPES

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

FAMILY DENTAL CARE (NPI 1053706481) is a healthcare organization registered as a general practice in Waukegan, Illinois and active in the NPI registry since April 2015. The organization lists Brusela F. Villa, Generalist/assistant Bookkeeper, as its authorized official.Information from the official NPPES registry record, last updated April 2, 2015.

NPPES Registry Identity

NPI1053706481
Entity TypeOrganization
Legal Business NameJOSE VILLA DDS PC
Location Address2841 GRAND AVEWaukegan, IL 60085-2372
Mailing Address2841 Grand AveWaukegan, IL 60085-2372 · (847) 360-1610 · Fax (847) 360-1689
Fax(847) 360-1689
Organization SubpartNo
Authorized OfficialBrusela F. VillaGeneralist/assistant Bookkeeper · (773) 458-4443
Enumeration DateApril 2, 2015
NPI 1053706481 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dentist · General Practice

Taxonomy 1223G0001X · Dental Providers

Licensed in IL · 019021973

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… Show more

2841 GRAND AVE, Waukegan, IL 60085

Also on File with NPPES

Other Names1
Family Dental Care (Doing Business As)
Group Practice1
This 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)

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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.