VIVID SMILES
NPI 1619433737
Clinic/Center - Dental in Terre Haute, IN

Active since February 13, 2019
2512 WABASH AVE, TERRE HAUTE, IN 47803(888) 988-4066 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2021, Jun 3, 2021, May 19, 2021 and 1 more (4 updates tracked since 2019).

About Vivid Smiles NPPES

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

VIVID SMILES (NPI 1619433737) is a healthcare organization registered as a dental in Terre Haute, Indiana and active in the NPI registry since February 2019. The organization lists Brandon Alexander Taylor, Credentialing&payerrelationsmanager, as its authorized official.

NPPES Registry Identity

NPI1619433737
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL TERRE HAUTE LLC
Location Address2512 WABASH AVETerre Haute, IN 47803-1506
Mailing Address2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · (888) 988-4066 · Fax (847) 496-4850
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing&payerrelationsmanager · (847) 453-7396
Enumeration DateFebruary 13, 2019
Last NPPES UpdateOctober 21, 20214 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
NPI 1619433737 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
2512 WABASH AVE, Terre Haute, IN 47803

Other Names 1

Doing Business AsVivid Smiles

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

Other Providers at the Same Location NPPES 2

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

Dentist
2512 WABASH AVE
TERRE HAUTE, IN 47803
Dentist (General Practice)
2512 WABASH AVE
TERRE HAUTE, IN 47803

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 Terre Haute LLC's NPI number?

The NPI number for Familia Dental Terre Haute LLC is 1619433737. It was assigned to this organization in the NPPES registry on February 13, 2019. The provider is doing business as Vivid Smiles.

Where is Familia Dental Terre Haute LLC located?

Familia Dental Terre Haute LLC is located at 2512 Wabash Ave, Terre Haute, IN 47803. The listed phone number is (888) 988-4066.

What is Familia Dental Terre Haute 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 Terre Haute LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Familia Dental Terre Haute 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 Terre Haute LLC was last updated on October 21, 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.