Sokolov Dental LTD, Dba Hollywood Smile, LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOKOLOV DENTAL LTD, DBA HOLLYWOOD SMILE, LTD

Practice address

6439 N Cicero Ave
Lincolnwood, IL 60712-3407

Phone

(773) 316-7816

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Inna Sokolov, DMD

Title

President

Phone

(773) 370-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hollywood Smile Ltd Doing business as

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1962078287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 N CICERO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123407",
            "telephone_number": "773-316-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 N CICERO AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123407",
            "telephone_number": "773-316-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOKOLOV DENTAL LTD, DBA HOLLYWOOD SMILE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "SOKOLOV",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-370-1900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235781956",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Smile Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Skrzypchak, OTR/L
• SL Lincolnwood LLC
• Robert Slaughter
• Chaya Smilowitz
• Edwin J. Smolevitz, MD
• Char Soledad
• Solidex Group LLC
• Solidex Group LLC
• Paulo Dennis D Son, BS PT
• Susan B Sorisho, PHARMD

• Dental Clinic/Center in Lincolnwood, IL
• Providers in Lincolnwood, 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 May 27, 2021; 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.