Your Lifesmiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019018263 Issued in IL

Legal business name

YOUR LIFESMILES

Practice address

980 N Michigan Ave
Suite 1520
Chicago, IL 60611-4501

Phone

(312) 944-5200

Fax

(312) 944-0154

NPI assigned

Jan 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter T Harnois, DDS

Title

President

Phone

(312) 944-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1841521713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE",
            "address_2": "SUITE 1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114501",
            "telephone_number": "312-944-5200",
            "fax_number": "312-944-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N MICHIGAN AVE",
            "address_2": "SUITE 1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114501",
            "telephone_number": "312-944-5200",
            "fax_number": "312-944-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR LIFESMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "HARNOIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-944-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019018263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.