SMILES ON RANDOLPH PC – NPI #1295330587
Clinic/Center

SMILES ON RANDOLPH PC is an AHC clinic located in MERRILLVILLE, IN. NPPES has assigned the NPI number 1295330587 to SMILES ON RANDOLPH PC on December 03, 2020. 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 SMILES ON RANDOLPH PC below.

NPI Profile for
SMILES ON RANDOLPH PC

NPI Number
1295330587
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
SMILES ON RANDOLPH PC
Primary location
8000 E LINCOLN HIGHWAY
MERRILLVILLE, IN 46410
Phone: (219) 769-6316 Fax: (219) 980-0379
Mailing address
6075 CLEVELAND CIR
MERRILLVILLE, IN 46410-2378
Phone: (219) 980-0319 Fax: (219) 980-0379
Organization Subpart
No
Authorized Official
DEE REMENIUS
ASSISTANT OFFICE MANAGER
Phone: (219) 980-0319
Updated
Certification Date
Nov 14, 2020

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.