GREAT SMILE DENTAL PLLC


Address: 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339
Phone: 8479451050

GREAT SMILE DENTAL PLLC (NPI# 1780290676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780290676
Entity Type Organization
Organization Name GREAT SMILE DENTAL PLLC
Practice Address 720 Osterman Ave Ste 304
Deerfield
IL 60015-4339
Practice Telephone 8479451050
Practice Fax Number 8479400433
Mailing Telephone 8479451050
Mailing Fax Number 8479400433
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Authorized Official Name JACQUELINE MORALES (DISTRICT MANAGER)
Authorized Official Telephone 8479451050
Is Organization Subpart Y
Parent Organization Name GREAT SMILE DENTAL PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Great Smile Dental PLLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043825078 Great Smile Dental Pllc Clinic/Center 2660 Windmill Pkwy, Henderson, NV 89074-3385 2020-09-15
1568071827 Great Smile Dental Pllc Dentist 8445 W Flamingo Rd, Las Vegas, NV 89147-4166 2020-07-23

Office Location

Street Address 720 OSTERMAN AVE STE 304
City DEERFIELD
State IL
Zip Code 60015-4339

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467073569 Steven A Ditgen Physical Therapist 43 N. Waukegan Road, Deerfield, IL 60015 2020-04-29
1760017255 Amanda Barkley Pharmacist 200 Wilmont Rd, Deerfield, IL 60015 2020-03-05
1467001487 Nora Fahmi Pharmacist Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 2019-09-11
1477105187 Anthony Greis Obstetrics & Gynecology 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 2019-07-12
1528628484 Cynthia Lynne Mckinzie Psychologist The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 2019-06-13
1073084497 Mary Jeane Jeane Velez Nurse Practitioner Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 2018-12-11
1891264644 Smile On of North Shore, PC Dentist 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 2018-11-21
1497236376 Linda Li Counselor 15 Parkway North Blvd, Deerfield, IL 60015 2018-08-28
1174009831 Rachael Michelle Lynn Physician Assistant 1302 Hazel Ave, Deerfield, IL 60015 2018-07-16
1730675182 Alexandra Lee Joseph Social Worker 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 2018-07-09
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851940373 Galliani Mulvaney & Associates Ltd Clinic/Center 400 Lake Cook Rd Ste 115, Deerfield, IL 60015-4929 2019-09-06
1457655664 Family Health Prevention & Care Center Clinic/Center 1020 North Milwaukee Avenue, Suit 160, Deerfield, IL 60015 2011-01-03
1063702512 Timothy P Bashford Dds PC Clinic/Center 400 Lake Cook Rd, Deerfield, IL 60015-5607 2011-04-18
1669703914 Eva M Lyon, Dds, PC Clinic/Center 420 Lake Cook Rd, Deerfield, IL 60015-5646 2010-01-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124629514 Chicago Pediatric Dentistry and Orthodontics Clinic/Center 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 2020-11-03
1437750031 Secure Dental Xi Clinic/Center 1843 W Golf Rd, Schaumburg, IL 60194-1148 2020-11-02
1780283267 Jenna Gaw, Dds, Pllc Clinic/Center 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 2020-10-26
1740889344 Nsp Dental LLC Clinic/Center 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 2020-10-23
1285232827 Paul Doodes Dds Phd PC Clinic/Center 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 2020-10-15
1669087375 Naperville Smiles Dental Clinic/Center 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 2020-09-09
1649883364 Mark J Maly Estate Clinic/Center 103 S Main St # Po, Orangeville, IL 61060-9244 2020-08-24
1760094718 Stoffel and Tomazin Dental Associates, Ltd Clinic/Center 5718 W 35th St, Cicero, IL 60804-4222 2020-08-20
1215548771 Meda Dental II LLC Clinic/Center 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 2020-08-10
1033729090 Thomas Lim Orthodontics Ltd Clinic/Center 1015 Waukegan Rd, Northbrook, IL 60062-3717 2020-08-05
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Competitor

Search similar providers

City DEERFIELD
Zip Code 60015

Improve Information

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Dataset Information

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.

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