Organization · Type 2 NPI

That Certain Smile

General Practice Dentistry · Chicago, IL

NPI number 1396958864 Active

Practice location

4511 S Lake Park Ave 1N
Chicago, IL 60653-1461

Call (708) 218-3296 Map

Fax (708) 575-0401

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone 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.

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About NPI 1396958864

That Certain Smile's National Provider Identifier is 1396958864, issued on May 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Dec 26, 2013.