FAMILIA DENTAL
NPI 1194188706
Clinic/Center - Dental in Green Bay, WI

Q: What is Familia Dental Green Bay East LLC's NPI number?

The NPI number for Familia Dental Green Bay East LLC is 1194188706. It was assigned to this organization in the NPPES registry on March 31, 2016. The provider is doing business as Familia Dental.

Q: What is Familia Dental Green Bay East LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since March 31, 2016

1931 MAIN ST., GREEN BAY, WI 54302(920) 499-2770(920) 634-2733 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2021, Jun 25, 2021, Jul 1, 2016 and 1 more (4 updates tracked since 2016).

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About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1194188706) is a healthcare organization registered as a dental in Green Bay, Wisconsin and active in the NPI registry since March 2016. The organization lists Brandon Alexander Taylor, Credentialing & Payer Relations Man, as its authorized official.

NPPES Registry Identity

NPI1194188706

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameFAMILIA DENTAL GREEN BAY EAST LLC

Location Address1931 MAIN ST.Green Bay, WI 54302-3920

Mailing Address2050 East Algonquin Road, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396

Phone(920) 499-2770

Fax(920) 634-2733

Organization SubpartNo

Authorized OfficialBrandon Alexander TaylorCredentialing & Payer Relations Man · (847) 453-7396

Enumeration DateMarch 31, 2016

Last NPPES UpdateOctober 15, 20214 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1194188706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1931 MAIN ST., Green Bay, WI 54302

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Other Names 1

Doing Business AsFamilia Dental

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 Green Bay East LLC's NPI number?

The NPI number for Familia Dental Green Bay East LLC is 1194188706. It was assigned to this organization in the NPPES registry on March 31, 2016. The provider is doing business as Familia Dental.

Where is Familia Dental Green Bay East LLC located?

Familia Dental Green Bay East LLC is located at 1931 Main St., Green Bay, WI 54302. The listed phone number is (920) 499-2770.

What is Familia Dental Green Bay East LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Familia Dental Green Bay East LLC was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.