Organization Active NPI

Best Smiles Family Dental, LLC

  • General Practice Dentistry
  • Moline, IL
National Provider Identifier
1639446677
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019529 Issued in IL
Legal business name
BEST SMILES FAMILY DENTAL, LLC
Practice address
106 19TH Ave
Suite 90
Moline, IL 61265-3700
Phone
(630) 877-3900
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Robert L Wheeler III, DDS
Title
Owner/Manager
Phone
(630) 877-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019019529 IL Primary

Addresses

Primary practice location

106 19TH Ave
Suite 90
Moline, IL 61265-3700

Mailing address

1300 Iroquois Ave
Suite 130
Naperville, IL 60563-8553
Phone (630) 877-3900

National Provider Directory

National Provider Directory

Locations

106 19th Ave
Ste 90
Moline, IL 61265
Phone (309) 277-6567

1300 Iroquois Ave
Ste 130
Naperville, IL 60563
Phone (630) 717-1606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1639446677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 IROQUOIS AVE",
            "address_2": "SUITE 130",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638553",
            "telephone_number": "630-877-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 19TH AVE",
            "address_2": "SUITE 90",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653700",
            "telephone_number": "630-877-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST SMILES FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "630-877-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.