OrganizationActive
5 Star Family Dental
NPI 1013462175 · General Practice Dentistry · South Holland, IL
Provider details
- NPI number
- 1013462175
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Fatland, Dentist / Owner(708) 990-7869
- License
- 019025070 (IL)
Specialties & taxonomies
Dental Providers
Practice location
615 E 162nd St
South Holland, IL 60473-2329
Phone: (708) 331-1900
Approximate (ZIP-level) locationGet directions
Mailing address
615 E 162nd St
South Holland, IL 60473-2329
Registry dates
- Enumerated
- 2016-08-18
- Last updated
- 2017-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.