FAMILIA DENTAL - NPI 1699049221 - Dentist in Addison, IL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1699049221) is a healthcare organization registered as a general practice in Addison, Illinois and active in the NPI registry since February 2012. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1699049221

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFAMILIA DENTAL 3 LLC

Location Address200 W LAKE STAddison, IL 60101-2513

Mailing Address2050 E Algonquin Rd, 610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-7202

Phone(888) 988-4066

Fax(847) 496-7202

Organization SubpartNo

Authorized OfficialKoushan AzadPresident · (888) 988-4066

Enumeration DateFebruary 29, 2012

✔ NPI 1699049221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019026920

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.

200 W LAKE ST, Addison, IL 60101

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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