Organization · Type 2 NPI
Smile On of North Shore, PC
Customized Equipment (DME) · Deerfield, IL
NPI number
1891264644
Active
Practice location
707 Lake Cook Rd., Suite 121
Deerfield, IL 60015
Fax (773) 337-4988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1891264644
Smile On of North Shore, PC's National Provider Identifier is 1891264644, issued on Nov 21, 2018. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Deerfield, IL. The record was last updated on Nov 21, 2018.