Organization Active NPI

Smile More Dental II Corp

  • Dental Clinic/Center
  • Wheaton, IL
National Provider Identifier
1215369046
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019027963 Issued in IL
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

Updated by the provider on Aug 2, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.