Malta Family Dental LLC
Malta Family Dental LLC provides Dentist services in Malta, 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.
Practice location Address checks out
304 Van Buren StMalta, IL 60150-9512 Not confirmed with CMS for 15 years — call before visiting
Phone: (815) 825-5025
Fax: (815) 516-0205
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019027588 (IL) |
|---|---|
| Dental Hygienist | Taxonomy 124Q00000X · Licence 020010952 (IL) |
Record details
| NPI number | 1063791218 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anne Anderson — Office Manager · (815) 825-5025 |
| NPI enumerated | August 5, 2011 |
| Last updated in NPPES | August 5, 2011 |
| Mailing address | 304 Van Buren St, Malta, IL 60150-9512 |