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WEST LOOP SMILE STUDIO NPI 1942600523


NPI Information

NPI: 1942600523
Provider Name: WEST LOOP SMILE STUDIO
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
955 W MONROE ST
CHICAGO, IL
ZIP 60607
Phone: (312) 994-4460
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WEST LOOP SMILE STUDIO 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. WEST LOOP SMILE STUDIO NPI is 1942600523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

955 W MONROE ST
CHICAGO, IL
ZIP 60607-811
Phone: (312) 994-4460

The provider's authorized official is Ozzie Smith .
The authorized official title is President/dentist and has the following contact phone number (312) 994-4460.

The enumeration date for this NPI number is 9/2/2014 and was last updated on 9/2/2014.


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
11223G0001XDentistGeneral Practice019026734ILLINOISYes

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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