Smart Dental Designers

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019026862 Issued in IL

Legal business name

SMART DENTAL DESIGNERS

Practice address

693 S Lake St
Mundelein, IL 60060-3658

Phone

(847) 672-4201

Fax

(847) 672-4208

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Luis Gullermo Lopera

Title

General Dentist

Phone

(847) 672-4201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1275843799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 S LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603658",
            "telephone_number": "847-672-4201",
            "fax_number": "847-672-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 S LAKE ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600603658",
            "telephone_number": "847-672-4201",
            "fax_number": "847-672-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL DESIGNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "LOPERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "GULLERMO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "847-672-4201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambika Singh
• Sylvia Siwinski
• Pawel Skora
• Linda Sledge, APRN
• Amy Therese Slowinske
• Shannon Smith, LCSW
• Stella Smith, LCPC
• Nadiya Sobolev, DDS
• Ira G Spiro, D.D.S.
• Sports Physical Therapy & Rehabilitation Specialists S.C.

• Dental Clinic/Center in Mundelein, IL
• Providers in Mundelein, 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 Oct 18, 2010; 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.