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

Familia Dental Esl LLC

Organization General Practice Dentistry · NPI 1962792747

Familia Dental Esl LLC provides General Practice Dentistry in East Saint Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

2608 State St
East Saint Louis, IL 62205-2325
Phone: (618) 857-2300
Fax: (618) 857-2302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1962792747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Taylor — Credentialing & Payer Relations Man · (847) 453-7396
Other names Familia Dental; Familia Dental
NPI enumeratedApril 13, 2011
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2050 East Algonquin Road, Suite 610, Schaumburg, IL 60173-4166

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