MALTA FAMILY DENTAL LLC
NPI 1063791218
Dentist in Malta, IL

Q: What is Malta Family Dental LLC's NPI number?

The NPI number for Malta Family Dental LLC is 1063791218. It was assigned to this organization in the NPPES registry on August 5, 2011.

Q: What is Malta Family Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 05, 2011

304 VAN BUREN ST, MALTA, IL 60150(815) 825-5025(815) 516-0205 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Malta Family Dental Llc NPPES

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

MALTA FAMILY DENTAL LLC (NPI 1063791218) is a healthcare organization registered as a dentist in Malta, Illinois and active in the NPI registry since August 2011. The organization lists Anne Elizabeth Anderson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063791218

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMALTA FAMILY DENTAL LLC

Location Address304 VAN BUREN STMalta, IL 60150-9512

Mailing Address304 Van Buren StMalta, IL 60150-9512 · (815) 825-5025 · Fax (815) 516-0205

Phone(815) 825-5025

Fax(815) 516-0205

Organization SubpartNo

Authorized OfficialAnne Elizabeth AndersonOffice Manager · (815) 825-5025

Enumeration DateAugust 5, 2011

✔ NPI 1063791218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019027588

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDental HygienistTaxonomy 124Q00000X · License 020010952 (IL)

304 VAN BUREN ST, Malta, IL 60150

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Other Identifiers 2

Medicaid020010952IL

Medicaid019027588IL

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Malta Family Dental LLC's NPI number?

The NPI number for Malta Family Dental LLC is 1063791218. It was assigned to this organization in the NPPES registry on August 5, 2011.

Where is Malta Family Dental LLC located?

Malta Family Dental LLC is located at 304 Van Buren St, Malta, IL 60150. The listed phone number is (815) 825-5025.

What is Malta Family Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Malta Family Dental LLC was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.