SMILE CENTER OF BROOKFIELD (NPI# 1730574641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730574641 |
| Entity Type | Organization |
| Organization Name | SMILE CENTER OF BROOKFIELD |
| Practice Address |
9144 Broadway Ave Brookfield IL 60513-1304 |
| Practice Telephone | 7084857754 |
| Practice Fax Number | 7084856454 |
| Mailing Telephone | 7084857754 |
| Mailing Fax Number | 7084856454 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | DR. TATIANA S PAUNESCU (GENERAL DENTIST/OWNER) |
| Authorized Official Telephone | 7084857754 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019024077 | IL | Dental Providers |
| Street Address |
9144 BROADWAY AVE |
| City | BROOKFIELD |
| State | IL |
| Zip Code | 60513-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720244759 | Saadallah Jabri | Dentist | 9144 Broadway Ave, Brookfield, IL 60513-1304 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801318712 | Filip Maksimovic | Physical Therapy Assistant | 4329 Forest Ave, Brookfield, IL 60513 | 2017-07-12 |
| 1649666439 | Little Sprouts Pediatric Therapy Services, Inc | Occupational Therapist | 4324 Blanchan Ave., Brookefield, IL 60513 | 2015-04-08 |
| 1043411945 | School District 95 | Local Education Agency (LEA) | 2524 Maple Avenue, Brookfield, IL 60513 | 2007-05-29 |
| 1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
| 1316036486 | Community Support Services | Social Worker | 9021 Ogden Avenue, Brookfield, IL 60513 | 2006-10-12 |
| 1255425476 | Daniel J Lehenbauer | Dentist | 9224 Broadway, Brookfield, IL 60513 | 2006-10-03 |
| 1669574513 | Todd C Martin | Dentist | 9435 W. Ogden Ave, Brookfield, IL 60513 | 2006-09-02 |
| 1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
| 1518302595 | Brook Park Medical Associates S C | Internal Medicine | 3101 Maple Ave, Brookfield, IL 60513 | 2013-05-06 |
| 1508076225 | Ehtesham J Ghani Md Sc | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2007-05-23 |
| Find all providers in zip 60513 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1831677244 | Euiyoung Chong | Dentist | 17160 W North Ave Ste 101, Brookfield, WI 53005-4437 | 2018-07-30 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1710432901 | Emily Baker | Dentist | 12780 W North Ave Ste A, Brookfield, WI 53005-4601 | 2016-08-17 |
| 1316326093 | Zahra Al Rawi | Dentist | 115 S Moorland, Brookfield, WI 53005-4230 | 2015-05-27 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| 1780930156 | Harry W Zirgibel Jr. | Dentist | 1700 W Capitol Dr., Brookfield, WI 53005 | 2012-08-03 |
| 1568720613 | Christopher Vijay Soares | Dentist | 128 Candlewood Lake Rd, Brookfield, CT 06804-2226 | 2012-04-26 |
| 1093914772 | David Brilowski | Dentist | 17000 W North Ave Ste 104e, Brookfield, WI 53005-4423 | 2007-07-13 |
| 1083826390 | Mark R Boettcher | Dentist | 16905 West Wisconsin Ave, Brookfield, WI 53005-5729 | 2007-05-07 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 60513 |
Please comment or provide details below to improve the information on SMILE CENTER OF BROOKFIELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.