Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Familia Dental Champaign LLC

Organization General Practice Dentistry · NPI 1982094462

Familia Dental Champaign LLC provides General Practice Dentistry in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 W Springfield Ave
Champaign, IL 61821-3011
Phone: (217) 355-6396
Fax: (217) 355-6872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019026920 (IL)
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1982094462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Taylor — Credentialing Payer Relations Mgr · (847) 453-7396
Other names Familia Dental; Familia Dental
NPI enumeratedFebruary 4, 2015
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2050 E Algonquin Rd, Suite 610, Schaumburg, IL 60173-4144

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