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

Familia Dental Kenosha LLC

Organization General Practice Dentistry · NPI 1154782209

Familia Dental Kenosha LLC is a General Practice Dentistry in Kenosha, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6430 Green Bay Rd Ste 112
Kenosha, WI 53142-2948
Phone: (262) 653-3980
Fax: (262) 455-7710
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

Record details

NPI number1154782209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Taylor — Credentialing & Payer Relations Man · (847) 453-7396
NPI enumeratedMarch 17, 2016
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2050 East Algonquin Road, Suite 610, Schaumburg, IL 60173-4166

Other providers in Kenosha