Dental Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026223 Issued in IL

Legal business name

DENTAL SMILES

Practice address

2410 W Jefferson St
Suite 108
Joliet, IL 60435-6449

Phone

(815) 744-4443

Fax

(815) 744-4460

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Samy Samaan, DDS

Title

Owner

Phone

(815) 744-4443

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1619242906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W JEFFERSON ST",
            "address_2": "SUITE 108",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356449",
            "telephone_number": "815-744-4443",
            "fax_number": "815-744-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W JEFFERSON ST",
            "address_2": "SUITE 108",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356449",
            "telephone_number": "815-744-4443",
            "fax_number": "815-744-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "SAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-744-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026223",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany A Denny
• Dental Experts, LLC
• Dental Professionals of Illinois, P.C
• Dental Professionals of Illinois, P.C.
• Dental Professionals of Illinois, P.C.
• Dental Smiles of Joliet
• Danielle Deoca
• Frances Gulotta Deppe, MD
• Dermatology and Plastic Surgery Associates, S.C.
• Maryse Beaudouin Derosena, BS MHA LDN

• General Practice Dentistry in Joliet, IL
• Providers in Joliet, 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 Mar 20, 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.