Al-Barr Smiles, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AL-BARR SMILES, INC.

Doing business as

Smile Village

Practice address

370 W Terra Cotta Ave
Crystal Lake, IL 60014-3512

Phone

(216) 258-6217

NPI assigned

Jun 28, 2021

Last updated

Jun 28, 2021By 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

Afsheen M Ommar, DDSNPI 1831530443

Title

Owner

Phone

(216) 258-6217

Specialties & licenses 1

Addresses

Other names 1

• SMILE VILLAGE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Afsheen Mumtaz Ommar, D.D.S.

  • Dentist
  • Crystal Lake, IL
  • NPI 1831530443
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1346810884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 LAKEWOOD DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122080",
            "telephone_number": "216-258-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W TERRA COTTA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143512",
            "telephone_number": "216-258-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL-BARR SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "OMMAR",
        "authorized_official_first_name": "AFSHEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-258-6217",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebecca Alawode
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• Align Spine & Orthopaedics

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, 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 Jun 28, 2021; 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.