Familia Dental Peoria LLC

NPI #1932429164 in Peoria, Illinois

Provider Information

NPI Number: 1932429164
Entity Type: Organization
Organization Name: Familia Dental Peoria LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 10, 2010
Last Updated: Oct 21, 2021

Practice Location

Address: 1403 W. GLEN
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (888) 988-4066

Authorized Official

Name: MR. BRANDON ALEXANDER TAYLOR, CPCS
Title: CREDENTIALING & PAYER RELATIONS
Phone: (847) 453-7396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Clinic/Center - Dental — Dental	261QD0000X	Primary

Similar Providers

Provider Name	Specialty	City
Dentsensus, Pllc	Clinic/Center - Dental	Peoria	AI Deep Dive
Dentsensus Peoria, Pllc	Clinic/Center - Dental	Peoria	AI Deep Dive
Peoria Dental Care	Clinic/Center - Dental	Peoria	AI Deep Dive
Peoria Dental LLC	Clinic/Center - Dental	Peoria	AI Deep Dive
Drs. Nelson and Gary Dental Assoc. Lta	Clinic/Center - Dental	Schaumburg	AI Deep Dive

Want to research this healthcare provider further?