OrganizationActive
Familia Dental Esl 4LLC
NPI 1013283126 · General Practice Dentistry · East Saint Louis, IL
Provider details
- NPI number
- 1013283126
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Koushan Azad, President(888) 988-4066
- License
- 019026920 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2608 State St
East Saint Louis, IL 62205-2325
Phone: (888) 988-4066
Fax: (847) 496-7202
Street-level locationGet directions
Mailing address
2050 E Algonquin Rd
Schaumburg, IL 60173-4144
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2012-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.