Smile Center of Brookfield

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024077 Issued in IL

Legal business name

SMILE CENTER OF BROOKFIELD

Practice address

9144 Broadway Ave
Brookfield, IL 60513-1304

Phone

(708) 485-7754

Fax

(708) 485-6454

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tatiana S Paunescu, DDS

Title

General Dentist/Owner

Phone

(708) 485-7754

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Saadallah Jabri, DDS

  • Dentist
  • Brookfield, IL
  • NPI 1720244759
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1730574641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9144 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131304",
            "telephone_number": "708-485-7754",
            "fax_number": "708-485-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9144 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131304",
            "telephone_number": "708-485-7754",
            "fax_number": "708-485-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER OF BROOKFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "PAUNESCU",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "708-485-7754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Schultz, RBT-17-42435
• Jill Anne Setterlun, O.D.
• Antoinette Mariel Severino, DDS
• Kristina Simak, MA, CCC-SLP/L
• Elizabeth Smart, MA CCC SLP
• Catherine Frances Smith, FNP-BC
• Julia Anne SMRT, SLP
• Robert Sonderby
• Megan C Styx, FNP-C
• Larry Wayne Svihlik, D.C.

• General Practice Dentistry in Brookfield, IL
• Providers in Brookfield, 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 30, 2015; 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.