Smile Central
Dentist in Chicago, IL. Organization (NPI-2).
NPI number1750754792
StatusActive
Last updated in NPPESNov 12, 2015
Details
- NPI
- 1750754792
- Entity type
- Organization (NPI-2)
- Legal business name
- Smile Central
- Organization subpart
- No
- Enumeration date
- Nov 12, 2015
- Last updated
- Nov 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019022787 | IL | Yes |
Practice location
7131 N Ridge BlvdChicago, IL 60645-3616
Phone 773-764-7575 · Fax 773-764-2951
Mailing address
7131 N Ridge BlvdChicago, IL 60645-3616
Phone 773-764-7575 · Fax 773-764-2951
Authorized official
Gregory Chipp
President
7737647575
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