SMILE MORE DENTAL 3 CORP (NPI# 1740649193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740649193 |
| Entity Type | Organization |
| Organization Name | SMILE MORE DENTAL 3 CORP |
| Practice Address |
1480 N Orchard Rd #104 Aurora IL 60506-7939 |
| Practice Telephone | 6303430543 |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |
| Authorized Official Name | SAMI MOHAMED DIAB (OWNER) |
| Authorized Official Telephone | 3124517264 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
019027963 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019027963 | 05 |
| Street Address |
1480 N ORCHARD RD #104 |
| City | AURORA |
| State | IL |
| Zip Code | 60506-7939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1689225237 | Rebecca Lynn Madden | Clinic/Center | 6331 Vv Rd, Prairie Du Rocher, IL 62277-1411 | 2019-09-25 |
| 1699238170 | Soreida Mamie Fennerr | Clinic/Center | 7729 S Loomis Blvd, Chicago, IL 60620-3751 | 2019-04-10 |
| 1710432968 | Alvin Eades Center Inc | Clinic/Center | 905 W Superior Ave, Jacksonville, IL 62650-3117 | 2016-08-17 |
| 1356778823 | Dia Corporate of Illinois, Inc | Clinic/Center | 1601 Broadway Ave, Mattoon, IL 61938-4096 | 2013-09-30 |
| 1689988248 | Flying High Gymnastics, Inc | Clinic/Center | 5400 East Ave, Countryside, IL 60525-3112 | 2010-08-05 |
| 1730366154 | Move N & Cruise N Kidz LLC | Clinic/Center | 1211 Deerfield Pkwy, Apt 101, Buffalo Grove, IL 60089-4563 | 2008-01-28 |
| 1821215062 | The Arc of Iroquois County | Clinic/Center | 700 E Elm St, Watseka, IL 60970-1400 | 2007-04-19 |
| 1992708960 | Easter Seals Joliet Region Inc. | Clinic/Center | 212 Barney Dr, Joliet, IL 60435-5271 | 2005-05-24 |
| 1255961348 | Child and Adolescent Neuropsychology Services of Southern Illinois, Pl | Clinic/Center | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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| 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.