Smile Dentistry, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019027311 Issued in IL

Legal business name

SMILE DENTISTRY, P.C.

Practice address

9211 Waukegan Rd
Morton Grove, IL 60053-2102

Phone

(847) 423-2045

NPI assigned

Mar 15, 2016

Last updated

Mar 15, 2016By 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

Saba Khan, DDS,MSD

Title

President

Phone

(847) 423-2045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1508227778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532102",
            "telephone_number": "847-423-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-423-2045",
        "authorized_official_credential": "DDS,MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Simon
• Simona Balan DDS PC
• Diane Sineni, CST
• Harvinder Singh
• John Skosey, MD
• Elizabeth Alexandra Sobenes, LCPC
• Agustin Millevo Sola, P.T.
• Michelle Solari, LPN
• Douglas Solway, DPM
• Teresa Sosenko

• Dentist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.