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FAMILIA DENTAL
NPI 1780974568
Clinic/Center - Dental in Springfield, IL

Active since April 13, 2011
802 N 9TH ST, SPRINGFIELD, IL 62702(888) 988-4066(847) 496-7603 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, Oct 15, 2021, Jun 24, 2021 (3 updates tracked since 2021).

About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1780974568) is a healthcare organization registered as a dental in Springfield, Illinois and active in the NPI registry since April 2011. The organization lists Brandon Alexander Taylor, Credentialing Payer Relations Mgr, as its authorized official.

NPPES Registry Identity

NPI1780974568
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL SPRINGFIELD LLC
Location Address802 N 9TH STSpringfield, IL 62702-6309
Mailing Address2050 E Algonquin Rd, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396
Phone(888) 988-4066
Fax(847) 496-7603
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing Payer Relations Mgr · (847) 453-7396
Enumeration DateApril 13, 2011
Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1780974568 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
802 N 9TH ST, Springfield, IL 62702
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 15

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

FAMILIA DENTAL SPRINGFIELD 2 LLC
Dentist
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (888) 988-4066
SAFA KHALIL DMD
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 679-2896
DR. BEOM SEOK KIM
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 801-9077
DINESH RAAVI
Dentist
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 679-2896
JACOB PHILIP DDS
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (847) 701-1457
PETER SHIH
Dentist (Orthodontics and Dentofacial Orthopedics)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (888) 988-4066
JITENDRAKUMAR PATEL DDS
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (630) 248-2526
DR. ELIANE FOSSATTI GONCALVES DDS
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 679-2896

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 Springfield LLC's NPI number?

The NPI number for Familia Dental Springfield LLC is 1780974568. It was assigned to this organization in the NPPES registry on April 13, 2011. The provider is doing business as Familia Dental.

Where is Familia Dental Springfield LLC located?

Familia Dental Springfield LLC is located at 802 N 9th St, Springfield, IL 62702. The listed phone number is (888) 988-4066.

What is Familia Dental Springfield 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 Springfield LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Familia Dental Springfield 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 Springfield 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.