Addison Swift Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADDISON SWIFT DENTAL CENTER PLLC

Doing business as

Addison Smiles

Practice address

190 N Swift Rd Ste G
Addison, IL 60101-1476

Phone

(630) 627-7626

NPI assigned

May 24, 2023

Last updated

May 24, 2023By 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

Chasity Breathett

Title

Insurance Coordinator

Phone

(630) 501-0065

Specialties & licenses 1

Addresses

Other names 1

• Addison Smiles Doing business as

Locations

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1275225609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W ROOSEVELT RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813504",
            "telephone_number": "630-953-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N SWIFT RD STE G",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011476",
            "telephone_number": "630-627-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON SWIFT DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "BREATHETT",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "630-501-0065"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Addison, IL
• Providers in Addison, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.