Organization · Type 2 NPI
Smile League Dental
Dental Clinic/Center · Joliet, IL
NPI number
1285138776
Active
Practice location
3587 Hennepin Dr # D
Joliet, IL 60431-9205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019031102 (IL) |
| General Practice Dentistry | 1223G0001X | 019031102 (IL) |
| Dental Clinic/Center Primary | 261QD0000X | 019031102 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1285138776
Smile League Dental's National Provider Identifier is 1285138776, issued on Mar 20, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Joliet, IL. The record was last updated on Mar 20, 2018.