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COUNTRYWIDE SMILES P.C. NPI 1598197105


NPI Information

NPI: 1598197105
Provider Name: COUNTRYWIDE SMILES P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
110 S STATE ST
ANNAWAN, IL
ZIP 61234
Phone: (309) 935-6126
Get Directions

COUNTRYWIDE SMILES P.C. is a general practice dentist in Annawan, 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. COUNTRYWIDE SMILES P.C. NPI is 1598197105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 S STATE ST
ANNAWAN, IL
ZIP 61234-716
Phone: (309) 935-6126

The provider's authorized official is Bogdan Mihai Taran .
The authorized official title is President and has the following contact phone number (773) 733-6344.

The enumeration date for this NPI number is 8/6/2013 and was last updated on 8/6/2013.


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
11223G0001XDentistGeneral Practice019027941ILLINOISYes

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: 5/5/2024

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