Dental Smiles of Joliet

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL SMILES OF JOLIET

Practice address

2410 W Jefferson St Ste 108
Joliet, IL 60435-6451

Phone

(213) 820-6484

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ali Khan, DDS

Title

President

Phone

(213) 820-6487

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1275142382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 SABLE OAKS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645665",
            "telephone_number": "213-820-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W JEFFERSON ST STE 108",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356451",
            "telephone_number": "213-820-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES OF JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-820-6487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Experts, LLC
• Dental Professionals of Illinois, P.C
• Dental Professionals of Illinois, P.C.
• Dental Professionals of Illinois, P.C.
• Dental Smiles
• Danielle Deoca
• Frances Gulotta Deppe, MD
• Dermatology and Plastic Surgery Associates, S.C.
• Maryse Beaudouin Derosena, BS MHA LDN
• Des Plaines Physician Services, P.C.

• Dental Clinic/Center in Joliet, IL
• Providers in Joliet, 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 Jul 24, 2020; 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.