FAMILIA DENTAL (NPI# 1326288275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326288275 |
| Entity Type | Organization |
| Organization Name | FAMILIA DENTAL |
| Practice Address |
200 West Lake Street Addison IL 60101 |
| Practice Telephone | 8889884066 |
| Mailing Telephone | 8889884066 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |
| Authorized Official Name | DR. KOUSHAN AZAD (DENTIST/PRESIDENT) |
| Authorized Official Telephone | 8889884066 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILIA DENTAL DAVENPORT LLC | 3301 W Kimberly Rd. Ste 5, Davenport, IA 52806 |
| Indiana Business Entities | FAMILIA DENTAL FORT WAYNE PLLC | 5328 Coldwater Rd, Fort Wayne, IN 46825-5445 |
| Indiana Business Entities | FAMILIA DENTAL MARION LLC | 21700 Oxnard St, Ste 560, Woodland Hills, CA 91367 |
| Street Address |
200 WEST LAKE STREET |
| City | ADDISON |
| State | IL |
| Zip Code | 60101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1093833139 | American Current Care of Illinois PC | Clinic/Center | 501 South Grace Street, Addison, IL 60101 | 2007-03-27 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645744 | Sher Dental Pllc | Dentist | 4150 Belt Line Rd # 104, Addison, TX 75001-4341 | 2020-03-24 |
| 1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
| 1316313117 | Tuan Anh Chau | Dentist | 5080 Spectrum Dr Ste 610e, Addison, TX 75001-6487 | 2015-08-15 |
| 1669855276 | Syed A Majeed | Dentist | 705 N Tamarac Blvd, Addison, IL 60101-1691 | 2015-06-30 |
| 1780021311 | Dustin Mccammon | Dentist | 14285 Midway Rd, Suite 160, Addison, TX 75001-3622 | 2013-05-22 |
| 1689955726 | Kayla Vaquera Barrett | Dentist | 4021 Belt Line Rd Ste 102, Addison, TX 75001-5878 | 2011-09-02 |
| 1538448857 | Comfort Dental Addison, Pllc | Dentist | 3744 Beltline Rd, Addison, TX 75001 | 2011-08-04 |
| 1649501990 | Smile Town Dental | Dentist | 42 W Lake St, Addison, IL 60101-2764 | 2010-01-27 |
| 1144436627 | Michael Scott Hestwood | Dentist | 431 N Steer St, Addison, MI 49220-9409 | 2007-05-14 |
| 1750594495 | Chi T Le | Dentist | 3735 Belt Line Rd, Addison, TX 75001-4302 | 2007-05-08 |
| Find all providers in ADDISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.