Exquisite Smiles Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXQUISITE SMILES DENTAL PLLC

Practice address

1515 N Harlem Ave Ste 200
Oak Park, IL 60302-1277

Phone

(708) 848-2853

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Robert Cory Stites

Title

Insurance Coordinator

Phone

(630) 869-5857

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1033707062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734955",
            "telephone_number": "630-869-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE STE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021277",
            "telephone_number": "708-848-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE SMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "STITES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "630-869-5857"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurna Ashlyn Evans Lindsay
• Jazmyne Briel Evans, RBT
• Kaitlyn Evans
• Lila Evans
• Aileen Joy C Eviota, PT
• Eyes Rite LTD.
• Peace Ukamaka Ezekwueche, APRN(FNP-C)
• Brooke Marie Fadanelli
• Judith Mary Faigen, LCSW
• Sherwood A Faigen, M.A.

• General Practice Dentistry in Oak Park, IL
• Providers in Oak Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.