S & I Dental LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027753 Issued in IL

Legal business name

S & I DENTAL LTD

Doing business as

Smile Family Dental

Practice address

1768 Douglas Rd
Oswego, IL 60543-5112

Phone

(630) 554-5858

NPI assigned

Apr 16, 2013

Last updated

Apr 16, 2013By 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

Dr. Sobia Shaikh, D.D.S

Title

President/Dentist

Phone

(630) 554-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Family Dental Doing business as

Locations

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1598108904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435112",
            "telephone_number": "630-554-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435112",
            "telephone_number": "630-554-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & I DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SOBIA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "630-554-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019027753",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Oswego, IL
• Providers in Oswego, 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 Apr 16, 2013; 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.