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FAMILIA DENTAL
NPI 1962792747
Clinic/Center - Dental in East Saint Louis, IL

Active since April 13, 2011
2608 STATE ST., EAST SAINT LOUIS, IL 62205(618) 857-2300(618) 857-2302 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Familia Dental NPPES

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

FAMILIA DENTAL (NPI 1962792747) is a healthcare organization registered as a dental in East Saint Louis, Illinois and active in the NPI registry since April 2011. The organization lists Brandon Alexander Taylor, Credentialing & Payer Relations Man, as its authorized official.

NPPES Registry Identity

NPI1962792747
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL ESL LLC
Location Address2608 STATE ST.East Saint Louis, IL 62205-2325
Mailing Address2050 East Algonquin Road, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396
Phone(618) 857-2300
Fax(618) 857-2302
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing & Payer Relations Man · (847) 453-7396
Enumeration DateApril 13, 2011
Last NPPES UpdateJune 25, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1962792747 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 · License 019026920 (IL)
2608 STATE ST., East Saint Louis, IL 62205
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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 ›

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 LLC's NPI number?

The NPI number for Familia Dental Esl LLC is 1962792747. 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 Esl LLC located?

Familia Dental Esl LLC is located at 2608 State St., East Saint Louis, IL 62205. The listed phone number is (618) 857-2300.

What is Familia Dental Esl 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 Esl LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Familia Dental Esl 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 Esl LLC was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.