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FAMILIA DENTAL
NPI 1417377177
Clinic/Center - Dental in Los Lunas, NM

Active since April 21, 2014
1620 MAIN ST NW, STE D, LOS LUNAS, NM 87031(505) 565-0651(505) 565-2031 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2021, Jun 24, 2021 (2 updates tracked since 2021).

About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1417377177) is a healthcare organization registered as a dental in Los Lunas, New Mexico and active in the NPI registry since April 2014. The organization lists Brandon Alexander Taylor, Credentialing & Payer Relations Man, as its authorized official.

NPPES Registry Identity

NPI1417377177
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL LOS LUNAS LLC
Location Address1620 MAIN ST NW, STE DLos Lunas, NM 87031-4891
Mailing Address2050 East Algonquin Road, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396
Phone(505) 565-0651
Fax(505) 565-2031
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing & Payer Relations Man · (847) 453-7396
Enumeration DateApril 21, 2014
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1417377177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X
1620 MAIN ST NW, Los Lunas, NM 87031
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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

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 Los Lunas LLC's NPI number?

The NPI number for Familia Dental Los Lunas LLC is 1417377177. It was assigned to this organization in the NPPES registry on April 21, 2014. The provider is doing business as Familia Dental.

Where is Familia Dental Los Lunas LLC located?

Familia Dental Los Lunas LLC is located at 1620 Main St NW Ste D, Los Lunas, NM 87031. The listed phone number is (505) 565-0651.

What is Familia Dental Los Lunas 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 Los Lunas LLC was last updated on October 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.