Lucky Smile Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019029466 Issued in IL

Legal business name

LUCKY SMILE DENTAL LLC

Practice address

35 Huntington LN
Wheeling, IL 60090-6908

Phone

(847) 229-1700

Fax

(847) 947-8705

NPI assigned

Jan 18, 2017

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakshmi Uppala, DDSNPI 1659711984

Title

Owner

Phone

(484) 241-1888

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakshmi Uppala, DDS

  • Dentist
  • Wheeling, IL
  • NPI 1659711984
  NPD Authorized official
• Kubra Atici, DDS

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1063852325
  NPD (past)
• Helena Ruderman, D.D.S.

  • General Practice Dentistry
  • Wheeling, IL
  • NPI 1154550184
  NPD (past)

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1235675919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 SATINWOOD TER",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894605",
            "telephone_number": "484-241-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HUNTINGTON LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906908",
            "telephone_number": "847-229-1700",
            "fax_number": "847-947-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY SMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "UPPALA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-241-1888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magaly Loeza, MA
• Loi L Logan, LSW
• Luis Guillermo Lopera, D.D.S.
• Elizabeth Lubiak, RN
• Lucid Counseling Chicago LLC
• Lillian Anne Lyman
• Karina Lyon Gavrilov, D.D.S.
• Guadalupe Violet Maciel
• Diane M. Macisaac, MCD,CCC-SLP
• Emily Jo Madeja

• Dentist in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.