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FAMILIA DENTAL DAVENPORT LLC
NPI 1205287067
Dentist - General Practice in Davenport, IA

Active since June 23, 2016
3301 W KIMBERLY RD STE 5, DAVENPORT, IA 52806(888) 988-4066(847) 496-4850 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2021, Jun 23, 2016 (2 updates tracked since 2016).

About Familia Dental Davenport Llc NPPES

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

FAMILIA DENTAL DAVENPORT LLC (NPI 1205287067) is a healthcare organization registered as a general practice in Davenport, Iowa and active in the NPI registry since June 2016. The organization lists Brandon Alexander Taylor, Credentaling & Payer Relations Mgr, as its authorized official.

NPPES Registry Identity

NPI1205287067
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILIA DENTAL DAVENPORT LLC
Location Address3301 W KIMBERLY RD STE 5Davenport, IA 52806-3047
Mailing Address2050 E Algonquin Rd Ste 610, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396
Phone(888) 988-4066
Fax(847) 496-4850
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentaling & Payer Relations Mgr · (847) 453-7396
Enumeration DateJune 23, 2016
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1205287067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 09227
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
3301 W KIMBERLY RD STE 5, Davenport, IA 52806
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

SO EUN PARK DDS
Dentist
3301 W KIMBERLY RD STE 5
DAVENPORT, IA 52806
Scott County (888) 988-4066
CHINMAYA SURIYANARAYANAN
Dentist (General Practice)
3301 W KIMBERLY RD STE 5
DAVENPORT, IA 52806
Scott 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 Davenport LLC's NPI number?

The NPI number for Familia Dental Davenport LLC is 1205287067. It was assigned to this organization in the NPPES registry on June 23, 2016.

Where is Familia Dental Davenport LLC located?

Familia Dental Davenport LLC is located at 3301 W Kimberly Rd Ste 5, Davenport, IA 52806. The listed phone number is (888) 988-4066.

What is Familia Dental Davenport LLC's specialty?

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

What insurance does Familia Dental Davenport LLC accept?

Health plans from UnitedHealthcare list Familia Dental Davenport LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Familia Dental Davenport LLC was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.