OrganizationActive
Familia Dental Peoria 3 LLC
NPI 1386964526 · General Practice Dentistry · Peoria, IL
Provider details
- NPI number
- 1386964526
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Koushan Azad, President/Owner(888) 988-4066
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1403 W. Glen
Peoria, IL 61614
Phone: (888) 988-4066
Street-level locationGet directions
Mailing address
2000 E Algonquin Rd Suite 109
Schaumburg, IL 60173-4189
Other names (DBA / former)
- Doing business as
- Familia Dental
Registry dates
- Enumerated
- 2010-06-10
- Last updated
- 2010-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.