Organization · Type 2 NPI

Familia Dental Las Cruces LLC

Dental Clinic/Center · Las Cruces, NM

NPI number 1144513508 Active

Practice location

1025 El Paseo Rd
Las Cruces, NM 88001-6029

Call (888) 988-4066 Map

Fax (847) 496-7603

Mailing address

2050 E Algonquin Rd, Suite 610
Schaumburg, IL 60173-4189

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Srinivasa Rao MidthanaGeneral Practice Dentistry Las Cruces, NM NPI 1174805642

Other dental clinic/center providers in Las Cruces

See all in Las Cruces →

NPI record

NPI: 1144513508
Entity type: Organization (Type 2)
Issued: May 18, 2011
Last updated: Oct 15, 2021
Status: Active

Other names

<unavail>
Familia Dental · doing business as
Familia Dental · doing business as

Authorized official

Mr. Brandon Alexander Taylor, CPCS
Credentialing & Payer Relations MGR
(847) 453-7396

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1144513508

Familia Dental Las Cruces LLC's National Provider Identifier is 1144513508, issued on May 18, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 15, 2021.