Crystal Smiles Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CRYSTAL SMILES DENTAL

Practice address

2520 Lincoln Hwy Ste F
Olympia Fields, IL 60461-1961

Phone

(708) 307-4908

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Simon A Tadros, DMDNPI 1528742384

Title

Ceo

Phone

(708) 307-4908

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Crystal Smiles Dental

  • General Practice Dentistry
  • North Riverside, IL
  • NPI 1104732684
  NPPES parent name

Practitioners 1

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

• Simon Tadros

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1528742384
  NPD Authorized official

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1184518235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 LINCOLN HWY STE F",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 LINCOLN HWY STE F",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611961",
            "telephone_number": "708-307-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-307-4908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Karina Corona
• Cosmetic Dermatology&Surgerypc
• Tiana Crider
• Jill Cryder, FNP-BC
• Joseph Rocco Cutrone, DO
• David Dardick, DMD
• Jacob D Darragh, PT, ATC
• Zubair Dave, D.O
• Crystal Davis, OTR/L

• Dental Clinic/Center in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.