1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Dentist
  6. NPI Profile

FAMILIA DENTAL
NPI 1386964526
Dentist - General Practice in Peoria, IL

Active since June 10, 2010
1403 W. GLEN, PEORIA, IL 61614(888) 988-4066 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1386964526) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since June 2010. The organization lists Koushan H. Azad, President/owner, as its authorized official.

NPPES Registry Identity

NPI1386964526
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILIA DENTAL PEORIA 3 LLC
Location Address1403 W. GLENPeoria, IL 61614
Mailing Address2000 E Algonquin Rd Suite 109Schaumburg, IL 60173-4189 · (888) 988-4066 · Fax (847) 496-7603
Phone(888) 988-4066
Organization SubpartNo
Authorized OfficialKoushan H. AzadPresident/owner · (888) 988-4066
Enumeration DateJune 10, 2010
✔ NPI 1386964526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1403 W. GLEN, Peoria, IL 61614
Open in Google Maps ↗

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 3

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

FAMILIA DENTAL PEORIA 4 LLC
Dentist (General Practice)
1403 W. GLEN
PEORIA, IL 61614
Peoria County (888) 988-4066
FAMILIA DENTAL PEORIA 2 LLC
Dentist (General Practice)
1403 W. GLEN
PEORIA, IL 61614
Peoria County (888) 988-4066
FAMILIA DENTAL PEORIA LLC
Clinic/Center (Dental)
1403 W. GLEN
PEORIA, IL 61614
Peoria 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 Peoria 3 LLC's NPI number?

The NPI number for Familia Dental Peoria 3 LLC is 1386964526. It was assigned to this organization in the NPPES registry on June 10, 2010. The provider is doing business as Familia Dental.

Where is Familia Dental Peoria 3 LLC located?

Familia Dental Peoria 3 LLC is located at 1403 W. Glen, Peoria, IL 61614. The listed phone number is (888) 988-4066.

What is Familia Dental Peoria 3 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 Peoria 3 LLC was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.