Organization · Type 2 NPI

Dental Professionals of Illinois, P.c.

General Practice Dentistry · Oak Park, IL

NPI number 1376254920 Active

Practice location

1113 Chicago Ave
Oak Park, IL 60302-1803

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

2 other providers at this address

Other general practice dentistry providers in Oak Park

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NPI record

NPI: 1376254920
Entity type: Organization (Type 2)
Issued: Dec 5, 2022
Last updated: Dec 5, 2022
Status: Active
Subpart: Yes of Dental Professionals of Illinois, P.c.

Other names

Lifetime Smiles Dental · doing business as

Authorized official

Hillary Thull
Credentialing Coordinator
(217) 540-8946

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376254920

Dental Professionals of Illinois, P.c.'s National Provider Identifier is 1376254920, issued on Dec 5, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oak Park, IL. The record was last updated on Dec 5, 2022.