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

Familia Dental Esl LLC

Organization General Practice Dentistry · NPI 1962792747

Familia Dental Esl LLC is a 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
Show map & directions

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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