Shining Smiles LLC
General Practice Dentistry · Bolingbrook, IL
Practice location
210 N Bolingbrook DrBolingbrook, IL 60440-2386
- Phone
- (312) 217-2223
NPI record
- NPI
- 1972816650
- Entity type
- Organization (Type 2)
- Enumeration date
- July 22, 2010
- Last updated
- July 22, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019028115 | IN |
Mailing address
208 N River RdNaperville, IL 60540-4040
- Phone
- (312) 217-2223
Authorized official
- Name
- Dr. Milad Nourahmadi Nourahmadi, D.D.S.
- Title
- President
- Phone
- (312) 217-2223
About Shining Smiles LLC
Shining Smiles LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386. The NPI number 1972816650 was assigned on July 22, 2010 and the record was last updated on July 22, 2010.
Shining Smiles LLC lists a license in the registry: #019028115 (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Milad Nourahmadi Nourahmadi, D.D.S., President.
Frequently asked questions
What is the NPI number of Shining Smiles LLC?
The NPI number is 1972816650.
What is the phone number of Shining Smiles LLC?
The phone number listed for the practice location is (312) 217-2223.
Where is Shining Smiles LLC located?
210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386.
What is the taxonomy code for Shining Smiles LLC?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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