SMILE GROUP HIGHLAND PARK, PLLC – NPI #1164005740
Clinic/Center

SMILE GROUP HIGHLAND PARK, PLLC is an AHC clinic located in HIGHLAND PARK, IL. NPPES has assigned the NPI number 1164005740 to SMILE GROUP HIGHLAND PARK, PLLC on May 03, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SMILE GROUP HIGHLAND PARK, PLLC below.

NPI Profile for
SMILE GROUP HIGHLAND PARK, PLLC

NPI Number
1164005740
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SMILE GROUP HIGHLAND PARK, PLLC
Primary location
806 CENTRAL AVE STE 201
HIGHLAND PARK, IL 60035-5613
Phone: (847) 432-4131 Fax:
Mailing address
1259 N WOOD ST APT 406
CHICAGO, IL 60622-8800
Phone: (847) 727-4077 Fax:
Organization Subpart
No
Authorized Official
JONATHAN GREGOIRE
DIRECTOR
Phone: (847) 727-4077
Updated
Certification Date
May 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.