Organization · Type 2 NPI
Illini Smiles Dental Care P.c.
General Practice Dentistry · Rantoul, IL
NPI number
1417208455
Active
Practice location
730 Enterprise
Rantoul, IL 61866-3689
Mailing address
2803 Cherry Hills Dr
Champaign, IL 61822-7541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019026810 (IL) |
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.
About NPI 1417208455
Illini Smiles Dental Care P.c.'s National Provider Identifier is 1417208455, issued on Oct 1, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rantoul, IL. The record was last updated on Oct 1, 2012.