Organization · Type 2 NPI

Familia Dentalclovis LLC

General Practice Dentistry · Clovis, NM

NPI number 1841583291 Active

Practice location

4017 N Prince St
Clovis, NM 88101-9705

Call (575) 762-2757 Map

Fax (575) 762-2769

Mailing address

2050 E Algonquin Rd, Suite 610
Schaumburg, IL 60173-4166

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed
Dental Clinic/Center	261QD0000X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10 other providers at this address

Other general practice dentistry providers in Clovis

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NPI record

NPI: 1841583291
Entity type: Organization (Type 2)
Issued: May 18, 2011
Last updated: Jun 24, 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.

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About NPI 1841583291

Familia Dentalclovis LLC's National Provider Identifier is 1841583291, issued on May 18, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clovis, NM. The record was last updated on Jun 24, 2021.