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CREATING SMILES LLC NPI 1083152243


NPI Information

NPI: 1083152243
Provider Name: CREATING SMILES LLC

Doing Business As: CREATING SMILES FAMILY AND COSMETIC DENTISTRY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
101 UNITED DR
SUITE 150
COLLINSVILLE, IL
ZIP 62234
Phone: (618) 345-7676
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CREATING SMILES LLC is a durable medical equipment medical supplies in Collinsville, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CREATING SMILES LLC NPI is 1083152243. The provider is registered as an organization entity type.
The provider Is Doing Business As Creating Smiles Family And Cosmetic Dentistry.

The provider's business location address is:

101 UNITED DR
SUITE 150
COLLINSVILLE, IL
ZIP 62234-428
Phone: (618) 345-7676
Fax: (618) 345-7603

The provider's authorized official is Gena Farris Pineda .
The authorized official title is Dentist/ Owner and has the following contact phone number (618) 345-7676.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.


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
1332B00000XDurable Medical Equipment & Medical Supplies019026456ILLINOISYes

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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