Organization Active NPI

Advocate Dental St Charles, LLC

  • General Practice Dentistry
  • St Charles, IL
National Provider Identifier
1376487744
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADVOCATE DENTAL ST CHARLES, LLC
Practice address
804 S 3Rd St
St Charles, IL 60174-4053
Phone
(630) 377-1200
NPI assigned
Apr 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Jubrail Sweis, DDS
Title
Owner
Phone
(630) 377-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

804 S 3Rd St
St Charles, IL 60174-4053

Mailing address

804 S 3Rd St
St Charles, IL 60174-4053

Other names 1

  • Bespoke Dental Co. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1376487744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S 3RD ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S 3RD ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744053",
            "telephone_number": "630-377-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE DENTAL ST CHARLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "SWEIS",
        "authorized_official_first_name": "JUBRAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-377-1200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Dental Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.