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FAMILIA DENTAL GARY PLLC
NPI 1770994121
Dentist - General Practice in Gary, IN

Active since May 19, 2014
1320 BROADWAY, GARY, IN 46407(888) 988-4066(847) 496-7603 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Familia Dental Gary Pllc NPPES

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

FAMILIA DENTAL GARY PLLC (NPI 1770994121) is a healthcare organization registered as a general practice in Gary, Indiana and active in the NPI registry since May 2014. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1770994121
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILIA DENTAL GARY PLLC
Location Address1320 BROADWAYGary, IN 46407-1309
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 OfficialKoushan AzadPresident · (888) 988-4066
Enumeration DateMay 19, 2014
Last NPPES UpdateOctober 22, 2014
✔ NPI 1770994121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1320 BROADWAY, Gary, IN 46407
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Gary PLLC's NPI number?

The NPI number for Familia Dental Gary PLLC is 1770994121. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Familia Dental Gary PLLC located?

Familia Dental Gary PLLC is located at 1320 Broadway, Gary, IN 46407. The listed phone number is (888) 988-4066.

What is Familia Dental Gary PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Familia Dental Gary PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Familia Dental Gary 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 Gary PLLC was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.