CHICAGO BRIGHT SMILES – NPI #1215301312
Clinic/Center

CHICAGO BRIGHT SMILES is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1215301312 to CHICAGO BRIGHT SMILES on November 30, 2015. 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 CHICAGO BRIGHT SMILES below.

NPI Profile for
CHICAGO BRIGHT SMILES

NPI Number
1215301312
Enumeration Date

(more than 10 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
CHICAGO BRIGHT SMILES
Primary location
711 W NORTH AVE
SUITE 216
CHICAGO, IL 60610-1174
Phone: (312) 944-0658 Fax: (312) 944-0531
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SOUDABEH RAFIEIAN
DENTIST
Phone: (312) 944-0658
Updated
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.