OrganizationActive
Familia Dental Spfw PLLC
NPI 1619388063 · Dental Clinic/Center · Fort Wayne, IN
Familia Dental Spfw PLLC is a Dental Clinic/Center organization in Fort Wayne, IN (NPI 1619388063).
Provider details
- NPI number
- 1619388063
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Taylor, Credentialing Payer Relations Mgr(847) 453-7396
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
100 E Pettit Ave
1a
Fort Wayne, IN 46806-3003
Phone: (888) 988-4066
Fax: (847) 496-7603
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
- 2014-05-19
- Last updated
- 2021-10-15
- Certified
- 2021-10-15
Frequently asked questions
- What is Familia Dental Spfw PLLC's NPI number?
- Familia Dental Spfw PLLC's National Provider Identifier (NPI) is 1619388063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Familia Dental Spfw PLLC?
- Familia Dental Spfw PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Familia Dental Spfw PLLC located?
- Familia Dental Spfw PLLC's practice location on file with NPPES is 100 E Pettit Ave, Fort Wayne, IN 46806-3003.
- What is Familia Dental Spfw PLLC's phone number?
- The practice phone number listed in the NPPES registry for Familia Dental Spfw PLLC is (888) 988-4066.
- Who is the authorized official for Familia Dental Spfw PLLC?
- The authorized official listed on Familia Dental Spfw PLLC's NPPES record is Brandon Taylor, Credentialing Payer Relations Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Familia Dental Spfw PLLC's NPI active?
- Yes — Familia Dental Spfw PLLC's NPI (1619388063) is active in the NPPES registry as of the last update on 2021-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.