FAMILIA DENTAL ROS LLC (NPI# 1730472184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730472184 |
| Entity Type | Organization |
| Organization Name | FAMILIA DENTAL ROS LLC |
| Other Organization Name | FAMILIA DENTAL |
| Practice Address |
2600 N Main St Roswell NM 88201-6554 |
| Mailing Address |
2000 E Algonquin Rd Suite 109 Schaumburg IL 60173-4189 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474967603 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474967603 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | DR. KOUSHAN H AZAD (PRESIDENT) |
| Authorized Official Telephone | 6306245788 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| FAMILIA DENTAL | Doing Business As Name - Organization |
| Street Address |
2600 N MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799594 | Nestor Olague | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2020-08-06 |
| 1295357226 | Seung H Yoon | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2020-05-13 |
| 1821643198 | Rupesh Singh | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2019-08-05 |
| 1053897280 | Yun Shik Chang | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2018-07-11 |
| 1518391242 | Rakshith Arakotaram Ravikumar | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2013-08-29 |
| 1649545211 | Francis O Badejoko | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2012-03-15 |
| 1447538400 | Suman Kishore Kondragunta | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| 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 |
|---|---|---|---|---|
| 1699393322 | Susannah Rachel Felton | Dentist | 860 Warsaw Rd Ste 100, Roswell, GA 30075-3992 | 2020-07-09 |
| 1770076721 | Sagar Kakadia | Dentist | 1755 Woodstock Rd Ste 100, Roswell, GA 30075-2135 | 2018-06-13 |
| 1417459769 | Nm Dentistry PC | Dentist | 3900 N Main St, Roswell, NM 88201-9773 | 2018-03-02 |
| 1265984579 | Smiles of Georgia LLC | Dentist | 9410 Willeo Rd Ste A, Roswell, GA 30075-5085 | 2016-11-03 |
| 1558739599 | Ramya Subgani | Dentist | 707 1/2 N Pennsylvania Ave, Roswell, NM 88201-4853 | 2015-09-08 |
| 1265812069 | Joseph Isaac Rhodes | Dentist | 3751 N Main St Ste D, Roswell, NM 88201-0300 | 2015-06-05 |
| 1710379755 | Smilesforever LLC | Dentist | 4511 N Main St, Suit B, Roswell, NM 88201-0309 | 2015-02-27 |
| 1306184460 | Gloria Alvarez-kiely | Dentist | 355 S Atlanta St, Roswell, GA 30075-4934 | 2013-01-24 |
| 1447565148 | Herbert Outlaw Jr. | Dentist | 220 Tallwood Ter, Roswell, GA 30076-3034 | 2010-08-18 |
| 1902118177 | Craig Richard Paul | Dentist | 2000 N Union Ave, Roswell, NM 88201-3209 | 2010-07-05 |
| Find all providers in ROSWELL | ||||
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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.