Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Familia Dental Champaign LLC

Organization General Practice Dentistry · NPI 1982094462

Familia Dental Champaign LLC is a 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
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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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