Smile League Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019031102 Issued in IL

Legal business name

SMILE LEAGUE DENTAL

Practice address

3587 Hennepin Dr # D
Joliet, IL 60431-9205

Phone

(815) 782-6243

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Morolayo Oluyemi, DMD

Title

Dentist

Phone

(571) 398-9168

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1285138776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HENNEPIN DR # D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319205",
            "telephone_number": "815-782-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3587 HENNEPIN DR # D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319205",
            "telephone_number": "815-782-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LEAGUE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "OLUYEMI",
        "authorized_official_first_name": "MOROLAYO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "571-398-9168",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031102",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031102",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019031102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn J Skrezyna, RPH
• Sleep Works Inc
• Slingshot MTM Inc
• Susan Smetana
• Smile Family Dental Joliet PC
• Smile Street Dental
• Lori Sue Smith Okon, LCSW
• Jennifer Smith-Garcia, MD
• Amy Smith, M.S. CCC/SLP
• Gabrielle Smith

• 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 Mar 20, 2018; 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.