Familia Dental Madison East LLC
Organization Active NPI Dental Clinic/Center · Madison, WI
NPI 1821451428 · NPPES record last updated Oct 15, 2021
Key facts
- NPI
- 1821451428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- FAMILIA DENTAL MADISON EAST LLC
- Practice address
- 3003 E Washington Ave
Madison, WI 53704-4301 - Phone
- (888) 988-4066
- Fax
- (847) 496-4850
- NPI assigned
- Mar 31, 2016
- Organization subpart
- No
Authorized official
- Name
- Ivonne Tellez
- Title
- Enrollment Team Lead
- Phone
- (888) 988-4066
Practitioners 9
-
Savita Bimarthi, DDS
-
Nahee Kim, DDS
-
Olaifa V Turner, DMD
-
Fakhra Ahmad, DMD
-
Yeonjae J Braun, DDS
-
Hsuan Hsia, DDS
-
Richard Tran, DDS
-
Jae Yeon You, DDS
National Provider Directory
Locations
3003 E Washington Ave
Madison, WI 53704
Phone (608) 244-8050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
3003 E Washington Ave
Madison, WI 53704-4301
Mailing address
2050 E Algonquin Rd
Suite 610
Schaumburg, IL 60173-4144
Phone (888) 988-4066
Other providers in Madison, WI
- Michael J Fallon
- Claire Castaneda Falls
- Cody Joseph Falls
- John Michael Fallucca
- Kelly Marie Faltersack
- Familia Dental Madison West LLC
- Family Chiropractic Clinic Inc
- Family Service Madison Inc
- Family Support and Resource Center
- Family Therapy Center of Madison, Inc.
All providers in Madison, WI · Dental Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.