SOUTHWEST SMILING DENTAL P.C. NPI 1447816616

NPI Information

  • NPI: 1447816616
  • Provider Name: SOUTHWEST SMILING DENTAL P.C.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 11141 S KEDZIE AVE
    CHICAGO, IL
    ZIP 60655
  • Phone: (773) 779-1606

Map and Directions

Get Directions

NPI Details

SOUTHWEST SMILING DENTAL P.C. is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOUTHWEST SMILING DENTAL P.C. NPI is 1447816616. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11141 S KEDZIE AVE
CHICAGO, IL
ZIP 60655-329
Phone: (773) 779-1606

The provider's authorized official is Jianjun Hao .
The authorized official title is Owner and has the following contact phone number (773) 941-1010.

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.

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
11223P0221XDentistPediatric DentistryNo
2124Q00000XDental HygienistNo
3126800000XDental AssistantNo
41223G0001XDentistGeneral PracticeYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.