| Familia Dental Springfiedl 5 Llc | |
|
802 N 9th St Springfield IL 62702-6309 | |
| (888) 988-4066 | |
| (847) 496-7603 |
| Full Name | Familia Dental Springfiedl 5 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 802 N 9th St, Springfield, Illinois |
| Authorized Official Name and Position | Koushan Azad (PRESIDENT) |
| Authorized Official Contact | 8889884066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental Springfiedl 5 Llc 2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 Ph: (888) 988-4066 | Familia Dental Springfiedl 5 Llc 802 N 9th St Springfield IL 62702-6309 Ph: (888) 988-4066 |
| NPI Number | 1750645495 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750645495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Philco Dental Group Llc - Springfield Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 N Dirksen Pkwy, Springfield, IL 62702 Phone: 217-492-1400 | |
Modern Dental Of Springfield Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3240 Hedley Rd Ste B, Springfield, IL 62711 Phone: 217-698-3400 Fax: 217-698-3410 | |
Familia Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 N 9th St, Springfield, IL 62702 Phone: 888-988-4066 Fax: 847-496-7202 | |
Dr Mosquera Prosthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 E Linton Ave, Springfield, IL 62703 Phone: 718-909-2550 | |
Springfield Associates In Oral & Maxillofacial Surgery Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3007 Spring Mill Dr, Springfield, IL 62704 Phone: 217-546-8100 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2661 S Veterans Pkwy, Springfield, IL 62704 Phone: 217-793-2400 Fax: 217-726-7542 | |
Phillip M. Jensen, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2606 Marketplace Dr, Springfield, IL 62702 Phone: 217-753-8690 |