Smile Avenue Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027115 Issued in IL

Legal business name

SMILE AVENUE DENTAL PC

Practice address

2620 N Narragansett Ave # B13
Chicago, IL 60639-1081

Phone

(312) 520-5545

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kyui Hyun Kim, DDS

Title

President

Phone

(312) 520-5545

Specialties & licenses 1

Addresses

Other names 1

• Brickyard Family Dental Doing business as

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220054400000",
    "number": "1114190675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 N NARRAGANSETT AVE # B13",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391081",
            "telephone_number": "312-520-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 N NARRAGANSETT AVE # B13",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391081",
            "telephone_number": "312-520-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AVENUE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-08-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUI HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-520-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brickyard Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas John Smid
• Kristen Smigelski, DPT
• Erin Smigla
• Nicole Jo Smigliani, LPC, MA
• Smile and Love LLC
• Smile Central
• Smile Dental Center of Chicago
• Smile Design Dental
• Smile First PC
• Smile Gallery Orthodontics PLLC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Aug 30, 2008; 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.