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FAMILIA DENTAL
NPI 1215210349
Dentist - General Practice in E Saint Louis, IL

Active since September 26, 2011
2608 STATE ST, E SAINT LOUIS, IL 62205(888) 988-4066(847) 496-7202 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1215210349) is a healthcare organization registered as a general practice in E Saint Louis, Illinois and active in the NPI registry since September 2011. The organization lists Koushan H Azad, President, as its authorized official.

NPPES Registry Identity

NPI1215210349
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILIA DENTAL ESL 2 LLC
Location Address2608 STATE STE Saint Louis, IL 62205-2325
Mailing Address2050 E Algonquin Rd, Suite 610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-7202
Phone(888) 988-4066
Fax(847) 496-7202
Organization SubpartNo
Authorized OfficialKoushan H AzadPresident · (888) 988-4066
Enumeration DateSeptember 26, 2011
✔ NPI 1215210349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019026920
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.
2608 STATE ST, E Saint Louis, IL 62205
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Other Names 1

Doing Business AsFamilia Dental

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

Other Providers at the Same Location NPPES 5

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

FAMILIA DENTAL ESL 4LLC
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066
DR. MARYANA F KIROLOS D.D.S.
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 857-2300
DR. KIRSTEN KARKOW DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 857-2300
FAMILIA DENTAL ESL 3 LLC
Dentist
2608 STATE ST
E SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066
FAMILIA DENTAL ESL 4 LLC
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair 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 Esl 2 LLC's NPI number?

The NPI number for Familia Dental Esl 2 LLC is 1215210349. It was assigned to this organization in the NPPES registry on September 26, 2011. The provider is doing business as Familia Dental.

Where is Familia Dental Esl 2 LLC located?

Familia Dental Esl 2 LLC is located at 2608 State St, E Saint Louis, IL 62205. The listed phone number is (888) 988-4066.

What is Familia Dental Esl 2 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Familia Dental Esl 2 LLC was last updated on September 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.