SMILE ON OF NORTH SHORE, PC – NPI #1891264644
Durable Medical Equipment & Medical Supplies

NPI Profile
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SMILE ON OF NORTH SHORE, PC is a DME supplier located in DEERFIELD, IL. NPPES has assigned the NPI number 1891264644 to SMILE ON OF NORTH SHORE, PC on November 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332BC3200X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment

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 ON OF NORTH SHORE, PC below.

NPI Profile for
SMILE ON OF NORTH SHORE, PC

NPI Number

1891264644

Enumeration Date

Nov 21, 2018
(more than 7 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 ON OF NORTH SHORE, PC

Primary location

707 LAKE COOK RD.
SUITE 121
DEERFIELD, IL 60015

Phone: (224) 282-8939 Fax: (773) 337-4988

Mailing address

Same as primary location

Organization Subpart

Authorized Official

PAUL PONCZA
OWNER
Phone: (224) 282-8939

Updated

Nov 21, 2018

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
332BC3200X - Durable Medical Equipment & Medical Supplies / Customized Equipment (Primary)
1223G0001X - Dentist / General Practice

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.