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

Familia Dental Peoria 5 LLC

Organization General Practice Dentistry · NPI 1568726206

Familia Dental Peoria 5 LLC is a General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2012.

In the registry since
2012
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

1403 W Glen Ave
Peoria, IL 61614-4705
Phone: (888) 988-4066
Fax: (847) 496-7603
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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

Record details

NPI number1568726206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koushan Azad — President · (888) 988-4066
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 27, 2012
Mailing address2050 E Algonquin Rd, Suite 610, Schaumburg, IL 60173-4144

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