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Contact Information

SMILES OF CARPENTERSVILLE PLLC
27 S WESTERN AVE
CARPENTERSVILLE, IL60110-1715
 Phone: 224-805-0502
 Fax: 847-496-5057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for SMILES OF CARPENTERSVILLE PLLC

NPI Number 1063079150
LBN Legal business name SMILES OF CARPENTERSVILLE PLLC
Authorized official SANDHYA PALLAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2019
Last updated 12/03/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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