NPI
Malta Family Dental LLC
NPI 1063791218
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2011-08-05
- Last updated
- 2011-08-05
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Specialties
Licenses
- License IL
- 020010952
- License IL
- 019027588
Location
- Practice location
- 304 Van Buren St
- City
- Malta IL
- Postal code
- 60150-9512
- Phone
- (815) 825-5025
Organization contact
- Name
- Anne Anderson
- Title
- office manager
- Phone
- (815) 825-5025
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Malta, IL. 10 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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