Organization Active NPI

Smiles for Life, PC

  • Dental Clinic/Center
  • Western Springs, IL
National Provider Identifier
1720356041
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.028214 Issued in IL
Legal business name
SMILES FOR LIFE, PC
Practice address
4479 Central Ave
Western Springs, IL 60558-1714
Phone
(708) 579-5437
Fax
(708) 550-4778
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Dr. Sukhjit Kaur, DDSNPI 1144245390
Title
Owner
Phone
(708) 579-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.028214 IL Primary

Addresses

Primary practice location

4479 Central Ave
Western Springs, IL 60558-1714

Mailing address

4479 Central Ave
Western Springs, IL 60558-1714
Phone (708) 579-5437

National Provider Directory

National Provider Directory

Locations

4727 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 352-3352

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": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1720356041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 CENTRAL AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581714",
            "telephone_number": "708-579-5437",
            "fax_number": "708-550-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4479 CENTRAL AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581714",
            "telephone_number": "708-579-5437",
            "fax_number": "708-550-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR LIFE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SUKHJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-579-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.028214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.