Active NPI
Smile More Dental II Corp
- Dental Clinic/Center
- Wheaton, IL
National Provider Identifier
1215369046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019027963
- Legal business name
- SMILE MORE DENTAL II CORP
- Practice address
- 225 Rice Lake SQ
Wheaton, IL 60189-2136 - Phone
- (630) 954-7307
- NPI assigned
- Aug 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sami M Diab, DDS
- Title
- President/ Owner
- Phone
- (312) 451-7264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 019027963 | IL | Primary |
Addresses
Primary practice location
225 Rice Lake SQ
Wheaton, IL 60189-2136
Mailing address
225 Rice Lake SQ
Wheaton, IL 60189-2136
Phone (630) 954-7307
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375401600000",
"number": "1215369046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 RICE LAKE SQ",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892136",
"telephone_number": "630-954-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 RICE LAKE SQ",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892136",
"telephone_number": "630-954-7307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE MORE DENTAL II CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A",
"authorized_official_last_name": "DIAB",
"authorized_official_first_name": "SAMI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "312-451-7264",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019027963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.