Familia Dental

LBN: Familia Dental Champaign Llc
Familia Dental is an health care organization with primary practice located at 1905 W. Springfield Ave , Champaign IL 61821-3011. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Familia Dental Champaign Llc can be contacted via phone (217) 355-6396, or through Taylor, Brandon Alexander via phone (847) 453-7396.

Contact Information

Primary practice address
1905 W. Springfield Ave Champaign IL 61821-3011
Phone: (217) 355-6396
Fax: (217) 355-6872
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Brandon Alexander CPCS
Phone: (847) 453-7396

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019026920 Illinois
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1982094462
LBN Legal business name Familia Dental Champaign Llc
DBA Doing business as Familia Dental
Authorized official Taylor, Brandon Alexander CPCS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2015
Last updated Jun 25th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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