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

Illuminate Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1316691736

Illuminate Family Dentistry, LLC is a General Practice Dentistry in Derby, Kansas. Registered with an NPI since 2022.

In the registry since
2022
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

250 W Red Powell Dr Ste 500
Derby, KS 67037-2626
Phone: (316) 847-7730
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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 number1316691736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Clark — Owner Dentist · (316) 847-7730
NPI enumeratedFebruary 4, 2022
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address2113 N Woodard St, Derby, KS 67037-2364

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