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

Familia Dental Esl 4LLC

Organization General Practice Dentistry · NPI 1013283126

Familia Dental Esl 4LLC is a General Practice Dentistry in East Saint Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

2608 State St
East Saint Louis, IL 62205-2325
Phone: (888) 988-4066
Fax: (847) 496-7202
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)

Record details

NPI number1013283126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koushan Azad — President · (888) 988-4066
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing address2050 E Algonquin Rd, 610, Schaumburg, IL 60173-4144

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