The Heart That Smiles Mobile Dentists

Primary specialty

DentistTaxonomy code 122300000X

License

019028142 Issued in IL

Legal business name

THE HEART THAT SMILES MOBILE DENTISTS

Practice address

2060 Ridge Rd
N, Suite 3 Lower Level
Homewood, IL 60430-1780

Phone

(312) 391-1913

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Latoi Raphael Thomas, D.D.S

Title

Ceo

Phone

(312) 391-1913

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1407112980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 RIDGE RD",
            "address_2": "N, SUITE 3 LOWER LEVEL",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 RIDGE RD",
            "address_2": "N, SUITE 3 LOWER LEVEL",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301780",
            "telephone_number": "312-391-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART THAT SMILES MOBILE DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATOI",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-391-1913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie A Terry
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• Jennifer A Thelen, NP
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• Cidney Thicklin
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• Dentist in Homewood, IL
• Providers in Homewood, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.