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FAMILIA DENTAL
NPI 1619388063
Clinic/Center - Dental in Fort Wayne, IN

Active since May 19, 2014
100 E PETTIT AVE, 1A, FORT WAYNE, IN 46806(888) 988-4066(847) 496-7603 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 30, 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 1619388063) is a healthcare organization registered as a dental in Fort Wayne, Indiana and active in the NPI registry since May 2014. The organization lists Brandon Alexander Taylor, Credentialing Payer Relations Mgr, as its authorized official.

NPPES Registry Identity

NPI1619388063
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL SPFW PLLC
Location Address100 E PETTIT AVE, 1AFort Wayne, IN 46806-3003
Mailing Address2050 E Algonquin Rd, Suite 610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-7603
Phone(888) 988-4066
Fax(847) 496-7603
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing Payer Relations Mgr · (847) 453-7396
Enumeration DateMay 19, 2014
Last NPPES UpdateOctober 15, 20212 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1619388063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
100 E PETTIT AVE, Fort Wayne, IN 46806
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Other Names 1

Doing Business AsFamilia Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 Spfw PLLC's NPI number?

The NPI number for Familia Dental Spfw PLLC is 1619388063. It was assigned to this organization in the NPPES registry on May 19, 2014. The provider is doing business as Familia Dental.

Where is Familia Dental Spfw PLLC located?

Familia Dental Spfw PLLC is located at 100 E Pettit Ave 1A, Fort Wayne, IN 46806. The listed phone number is (888) 988-4066.

What is Familia Dental Spfw PLLC's specialty?

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

What insurance does Familia Dental Spfw PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Familia Dental Spfw PLLC 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 Spfw PLLC was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.