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

Familia Dental Spfw PLLC

Organization Dental Clinic/Center · NPI 1619388063

Familia Dental Spfw PLLC is a Dental Clinic/Center in Fort Wayne, Indiana. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Pettit Ave 1A
Fort Wayne, IN 46806-3003
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

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1619388063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Taylor — Credentialing Payer Relations Mgr · (847) 453-7396
Other names Familia Dental
NPI enumeratedMay 19, 2014
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address2050 E Algonquin Rd, Suite 610, Schaumburg, IL 60173-4144

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