DENTAL SMILES (NPI# 1619242906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619242906 |
| Entity Type | Organization |
| Organization Name | DENTAL SMILES |
| Practice Address |
2410 W Jefferson St Suite 108 Joliet IL 60435-6449 |
| Practice Telephone | 8157444443 |
| Practice Fax Number | 8157444460 |
| Mailing Telephone | 8157444443 |
| Mailing Fax Number | 8157444460 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | DR. SAMY SAMAAN (OWNER) |
| Authorized Official Telephone | 8157444443 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
019028659 | IL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019026223 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272932 | Dental Smiles | Dentist | 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 | 2019-02-27 |
| 1902015456 | Dental Smiles | Dentist | 11558 Rosecrans Ave., Norwalk, CA 90650 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DENTAL SMILES FOR KIDS PLLC | 18-15 Francis Lewis Blvd, Whitestone, Ny 11357 |
| Washington State Corporations | DENTAL SMILES INC. | 1622 S Mildred St, Tacoma, WA 98465 |
| Connecticut Business Registrations | Dental Smiles of Hartford, Pllc | 550 B Farmington Avenue, Hartford, CT 06105 |
| New York State Corporations | DENTAL SMILES OF QUEENS, P.C. | 834 Flatbush Ave, Brooklyn, Ny 11226 |
| Street Address |
2410 W JEFFERSON ST SUITE 108 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678171 | Chiro One Wellness Center of Joliet LLC | Chiropractor | 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | 2009-11-16 |
| 1346794575 | Chaniqua Mcfadden | Dentist | 2410 W Jefferson St, 108, Joliet, IL 60435-6449 | 2016-08-04 |
| 1164759981 | Andrea Blake | Chiropractor | 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306362389 | Craigory James Raino | Dentist | 2901 Plainfield Rd Ste A, Joliet, IL 60435-1129 | 2017-08-21 |
| 1922547264 | Shining Smiles 4, Inc | Dentist | 110 N Larkin Ave, Joliet, IL 60435-6603 | 2017-02-20 |
| 1619385101 | Metrosmiles - Joliet Dental PC | Dentist | 2625 W Jefferson St, Joliet, IL 60435-6432 | 2014-07-28 |
| 1700207594 | Innovative Orthodontics | Dentist | 1000 W Jefferson St Ste 101, Joliet, IL 60435-6812 | 2013-12-20 |
| 1902191208 | Sara Anwar | Dentist | 1502 Kempton St, Joliet, IL 60431-8077 | 2011-06-14 |
| 1639486053 | Patel&patel D.d.s Ltd | Dentist | 1507 1/2 W Jefferson St, Joliet, IL 60435-6765 | 2010-09-07 |
| 1699917153 | Krishan Dental Limited | Dentist | 825 Plainfield Rd, Joliet, IL 60435-5900 | 2009-03-30 |
| 1265684674 | Rudolf C Paolucci | Dentist | 202 North Hammes Avenue Suite B, Joliet, IL 60435 | 2008-10-16 |
| 1235302910 | Royal Dental | Dentist | 2713 Black Road, Joliet, IL 60435 | 2008-04-02 |
| 1487857496 | Thomas J Streitz | Dentist | 1711 Campbell St, Joliet, IL 60435-6709 | 2007-06-07 |
| Find all providers in JOLIET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.