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FAMILIA DENTAL ESL 4 LLC
NPI 1801151063
Dentist - General Practice in East Saint Louis, IL

Active since July 12, 2012
2608 STATE ST, EAST SAINT LOUIS, IL 62205(888) 988-4066(847) 496-7603 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Familia Dental Esl 4 Llc NPPES

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

FAMILIA DENTAL ESL 4 LLC (NPI 1801151063) is a healthcare organization registered as a general practice in East Saint Louis, Illinois and active in the NPI registry since July 2012. The organization lists Koushan Azad, President, as its authorized official.

NPPES Registry Identity

NPI1801151063
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILIA DENTAL ESL 4 LLC
Location Address2608 STATE STEast Saint Louis, IL 62205-2325
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 DateJuly 12, 2012
✔ NPI 1801151063 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.
2608 STATE ST, East Saint Louis, IL 62205
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

FAMILIA DENTAL ESL 4LLC
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066
DR. MARYANA F KIROLOS D.D.S.
Dentist (General Practice)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 857-2300
DR. KIRSTEN KARKOW DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2608 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 857-2300
FAMILIA DENTAL ESL 3 LLC
Dentist
2608 STATE ST
E SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066
FAMILIA DENTAL ESL 2 LLC
Dentist (General Practice)
2608 STATE ST
E SAINT LOUIS, IL 62205
St. Clair County (888) 988-4066

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 Esl 4 LLC's NPI number?

The NPI number for Familia Dental Esl 4 LLC is 1801151063. It was assigned to this organization in the NPPES registry on July 12, 2012.

Where is Familia Dental Esl 4 LLC located?

Familia Dental Esl 4 LLC is located at 2608 State St, East Saint Louis, IL 62205. The listed phone number is (888) 988-4066.

What is Familia Dental Esl 4 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Familia Dental Esl 4 LLC was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.