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SMILE MORE DENTAL 3 CORP NPI 1740649193


NPI Information

NPI: 1740649193
Provider Name: SMILE MORE DENTAL 3 CORP
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1480 N ORCHARD RD
#104
AURORA, IL
ZIP 60506
Phone: (630) 343-0543
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SMILE MORE DENTAL 3 CORP is a developmental disabilities clinic center in Aurora, IL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). SMILE MORE DENTAL 3 CORP NPI is 1740649193. The provider is registered as an organization entity type.

The provider's business location address is:

1480 N ORCHARD RD
#104
AURORA, IL
ZIP 60506-939
Phone: (630) 343-0543

The provider's authorized official is Sami Mohamed Diab .
The authorized official title is Owner and has the following contact phone number (312) 451-7264.

The enumeration date for this NPI number is 2/14/2016 and was last updated on 2/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental Disabilities019027963ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019027963MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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