Dental Smiles of West Chicago PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL SMILES OF WEST CHICAGO PC

Practice address

1933 Franciscan Way
West Chicago, IL 60185-6201

Phone

(630) 231-4500

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Ali M Khan, DDS

Title

President

Phone

(217) 820-6487

Specialties & licenses 1

Addresses

Other names 1

• North Ave. Dental Associates Doing business as

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1295346997",
    "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": "1933 FRANCISCAN WAY",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856201",
            "telephone_number": "630-231-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES OF WEST CHICAGO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-820-6487",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ave. Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela S Davis, LCPC, LPCS
• DBB Medcare Inc
• Delta Medical Group LLC
• Geoff Demmel
• Dental Professionals of Illinois, P.C.
• Antonio Diaz
• Barry Diskin
• Divine Service Group LLC
• Jasmine Donley
• Tania Loretta Dorsey

• Dental Clinic/Center in West Chicago, IL
• Providers in West Chicago, 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 Aug 14, 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.