FAMILIA DENTAL
NPI 1588084479
Clinic/Center - Dental in Moline, IL

Active since April 18, 2014
1102 4TH AVE., MOLINE, IL 61265(309) 517-6217(309) 517-6219 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1588084479) is a healthcare organization registered as a dental in Moline, Illinois 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

NPI1588084479
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL MOLINE LLC
Location Address1102 4TH AVE.Moline, IL 61265-1231
Mailing Address2050 East Algonquin Road, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396
Fax(309) 517-6219
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing & Payer Relations Man · (847) 453-7396
Enumeration DateApril 18, 2014
Last NPPES UpdateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1588084479 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 ListedDentist · General PracticeTaxonomy 1223G0001X
1102 4TH AVE., Moline, IL 61265

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

Accepted Insurance

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 Moline LLC's NPI number?

The NPI number for Familia Dental Moline LLC is 1588084479. It was assigned to this organization in the NPPES registry on April 18, 2014. The provider is doing business as Familia Dental.

Where is Familia Dental Moline LLC located?

Familia Dental Moline LLC is located at 1102 4th Ave., Moline, IL 61265. The listed phone number is (309) 517-6217.

What is Familia Dental Moline LLC's specialty?

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

What insurance does Familia Dental Moline LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Familia Dental Moline 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 Moline LLC was last updated on June 25, 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.