BEST SMILE DENTISTRY LLC NPI 1326316746

NPI Information

  • NPI: 1326316746
  • Provider Name: BEST SMILE DENTISTRY, LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 490 W LAKE ST
    107
    ROSELLE, IL
    ZIP 60172
  • Phone: (614) 657-8312

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NPI Details

BEST SMILE DENTISTRY, LLC is a periodontics dentist in Roselle, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BEST SMILE DENTISTRY, LLC NPI is 1326316746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

490 W LAKE ST
107
ROSELLE, IL
ZIP 60172-583
Phone: (614) 657-8312

The provider's authorized official is Praveen Kumar Gajendrareddy .
The authorized official title is Member/ Manager and has the following contact phone number (614) 657-8312.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics021.002403ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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