OrganizationActive
Familia Dental Springfield 2 LLC
NPI 1104109230 · Dentist · Springfield, IL
Familia Dental Springfield 2 LLC is a Dentist organization in Springfield, IL (NPI 1104109230).
Provider details
- NPI number
- 1104109230
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Koushan H Azad, President(888) 988-4066
- License
- 019026920 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 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
802 N 9th St
Springfield, IL 62702-6309
Phone: (888) 988-4066
Fax: (847) 496-7202
Street-level locationGet directions
Mailing address
2050 E Algonquin Rd
Schaumburg, IL 60173-4144
Other names (DBA / former)
- Doing business as
- Familia Dental
Registry dates
- Enumerated
- 2011-09-26
- Last updated
- 2011-09-26
Frequently asked questions
- What is Familia Dental Springfield 2 LLC's NPI number?
- Familia Dental Springfield 2 LLC's National Provider Identifier (NPI) is 1104109230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Familia Dental Springfield 2 LLC?
- Familia Dental Springfield 2 LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Familia Dental Springfield 2 LLC located?
- Familia Dental Springfield 2 LLC's practice location on file with NPPES is 802 N 9th St, Springfield, IL 62702-6309.
- What is Familia Dental Springfield 2 LLC's phone number?
- The practice phone number listed in the NPPES registry for Familia Dental Springfield 2 LLC is (888) 988-4066.
- Who is the authorized official for Familia Dental Springfield 2 LLC?
- The authorized official listed on Familia Dental Springfield 2 LLC's NPPES record is Koushan H Azad, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Familia Dental Springfield 2 LLC's NPI active?
- Yes — Familia Dental Springfield 2 LLC's NPI (1104109230) is active in the NPPES registry as of the last update on 2011-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.