NPIMap

Organization Active NPI

Smiles of Tomorrow, LTD

  • Dental Clinic/Center
  • South Holland, IL
National Provider Identifier
1104345933
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILES OF TOMORROW, LTD
Practice address
605 E 170TH St
South Holland, IL 60473-3408
Phone
(773) 666-3153
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ogbonna Bowden
Title
Dentist
Phone
(708) 893-0368

Specialties & licenses 1

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

Addresses

Primary practice location

605 E 170TH St
South Holland, IL 60473-3408

Mailing address

605 E 170TH St
South Holland, IL 60473-3408
Phone (773) 666-3153

National Provider Directory

National Provider Directory

Locations

605 E 170th St
South Holland, IL 60473
Phone (708) 893-0368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104345933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 170TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733408",
            "telephone_number": "773-666-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 170TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733408",
            "telephone_number": "773-666-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF TOMORROW, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "OGBONNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-893-0368",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.