Organization · Type 2 NPI
Klean Smiles Southport PLLC
Dental Clinic/Center · Chicago, IL
NPI number
1689569931
Active
Practice location
3712 N Southport Ave
Chicago, IL 60613-6889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1689569931
Klean Smiles Southport PLLC's National Provider Identifier is 1689569931, issued on Jun 9, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Dec 12, 2025.