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SMILE FIXATION PC NPI 1811331978


NPI Information

NPI: 1811331978
Provider Name: SMILE FIXATION, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7039 ROOSEVELT RD
BERWYN, IL
ZIP 60402
Phone: (708) 484-2480
Get Directions

SMILE FIXATION, PC is a general practice dentist in Berwyn, 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. SMILE FIXATION, PC NPI is 1811331978. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7039 ROOSEVELT RD
BERWYN, IL
ZIP 60402-059
Phone: (708) 484-2480

The provider's authorized official is Berenice Lopez .
The authorized official title is General Dentist and has the following contact phone number (708) 484-2480.

The enumeration date for this NPI number is 4/19/2013 and was last updated on 1/8/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral 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: 5/5/2024

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