The Ultimate Smile PC

Primary specialty

DentistTaxonomy code 122300000X

License

019018583 Issued in IL

Legal business name

THE ULTIMATE SMILE PC

Practice address

12130 S Harlem Ave
Palos Heights, IL 60463-1458

Phone

(708) 425-7474

Fax

(708) 671-9060

NPI assigned

Jul 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terrence L Bartolini, DDS

Title

President

Phone

(708) 425-7474

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1023321817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-425-7474",
            "fax_number": "708-671-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-425-7474",
            "fax_number": "708-671-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ULTIMATE SMILE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "BARTOLINI",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teleteachers, Inc. (Dba Miyo Health)
• Lindsey Elizabeth Tengerstrom, M.D.
• Eric Teplitz, MD
• Ann Francis Terronez, DNP, FNP-BC
• Tam Van Thai, D.O.
• Marigo Theodore, PHARMD
• Salina Thinakkal I
• Haylee Thomas
• Jacqueline Nicole Thomas, PSYD
• Victoria Anquinette Thomas, BT

• Dentist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.