Organization Active NPI

Start Smiling Dental Implant Centers LLC

  • Dental Clinic/Center
  • Northfield, IL
National Provider Identifier
1093384257
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
START SMILING DENTAL IMPLANT CENTERS LLC
Practice address
330 W Frontage Rd FL 2B
Northfield, IL 60093-3467
Phone
(847) 386-6351
NPI assigned
Jun 22, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Paul Samuel Petrungaro, DDSNPI 1063571974
Title
Doctor
Phone
(847) 386-6351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

330 W Frontage Rd FL 2B
Northfield, IL 60093-3467

Mailing address

330 W Frontage Rd FL 2B
Northfield, IL 60093-3467
Phone (847) 386-6351

National Provider Directory

National Provider Directory

Locations

1S660 Midwest Rd
Ste 205
Oakbrook Terrace, IL 60181
Phone (630) 473-4550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093384257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W FRONTAGE RD FL 2B",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933467",
            "telephone_number": "847-386-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W FRONTAGE RD FL 2B",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933467",
            "telephone_number": "847-386-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START SMILING DENTAL IMPLANT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-09-11",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PETRUNGARO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-386-6351",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.