Familia Dental Springfield LLC
NPI #1780974568 in Springfield, Illinois
Provider Information
- NPI Number
- 1780974568
- Entity Type
- Organization
- Organization Name
- Familia Dental Springfield LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 13, 2011
- Last Updated
- Oct 21, 2021
Practice Location
- Address
- 802 N 9TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-6309
- Phone
- (888) 988-4066
Authorized Official
- Name
- MR. BRANDON ALEXANDER TAYLOR, CPCS
- Title
- CREDENTIALING PAYER RELATIONS MGR
- Phone
- (847) 453-7396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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