Identical Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDENTICAL SMILES LLC

Practice address

4647 W 103Rd St Ste 1M
Oak Lawn, IL 60453-4874

Phone

(708) 424-2150

NPI assigned

Jun 12, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mario Copello, DMDNPI 1164106282

Title

Owner

Phone

(404) 786-3114

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Mario E Copello, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1164106282
  NPD Authorized official
• Isaac Lee, DMD

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1407692213
  NPD
• Carlos E Copello, DMD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1902581192
  NPD (past)
• George William Lingen Jr., DDS

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1184762353
  NPD (past)

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1760377279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1M",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534874",
            "telephone_number": "708-424-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST STE 1M",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534874",
            "telephone_number": "708-424-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENTICAL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "COPELLO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-786-3114",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke M Hvorcik
• Bridget G Hyland, DO
• I&I Transportation
• Katherine Blossfield Iannitelli, M.D.
• Essam Ibrahim
• Adesuwa Omone Ighodaro, M.D.
• Emelie J Ilarde, MD
• Michel N Ilbawi, MD
• Illinois Center for Foot & Ankle Surgery Inc
• Illinois Uvc Medical PLLC (United Vein & Vascular Centers)

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, 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 Jun 12, 2025; 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.