NPIMap

Organization Active NPI

Smile Town Dental

  • General Practice Dentistry
  • Addison, IL
National Provider Identifier
1649501990
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE TOWN DENTAL
Practice address
42 W Lake St
Addison, IL 60101-2764
Phone
(630) 333-1065
Fax
(630) 333-1069
NPI assigned
Jan 27, 2010
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHTON DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Sohail S Shafi
Title
Manager
Phone
(630) 842-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

42 W Lake St
Addison, IL 60101-2764

Mailing address

1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (630) 333-1065

National Provider Directory

National Provider Directory
Tax ID family
Smile Town Dental11 organizations share this tax ID, including this one
Part of
Smile Town Dental

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

42 W Lake St
Addison, IL 60101
Phone (630) 333-1065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1649501990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632609",
            "telephone_number": "630-333-1065",
            "fax_number": "630-333-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012764",
            "telephone_number": "630-333-1065",
            "fax_number": "630-333-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TOWN DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHTON DENTAL PC",
        "enumeration_date": "2010-01-27",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-842-3705"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.