FIRST SMILES DENTAL, PC
NPI 1053657809
Dentist - Pediatric Dentistry in Crystal Lake, IL

Active since December 26, 2012
278 MEMORIAL DR, SUITE B, CRYSTAL LAKE, IL 60014(815) 455-3110 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About First Smiles Dental, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST SMILES DENTAL, PC (NPI 1053657809) is a healthcare organization registered as a pediatric dentistry in Crystal Lake, Illinois and active in the NPI registry since December 2012. The organization lists Scott Goldman, President, as its authorized official.

NPPES Registry Identity

NPI1053657809
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFIRST SMILES DENTAL, PC
Location Address278 MEMORIAL DR, SUITE BCrystal Lake, IL 60014-6246
Mailing Address278 Memorial Dr, Suite BCrystal Lake, IL 60014-6246
Organization SubpartNo
Authorized OfficialScott GoldmanPresident · (847) 987-0322
Enumeration DateDecember 26, 2012
NPI 1053657809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IL · 019027333
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

278 MEMORIAL DR, Crystal Lake, IL 60014

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Smiles Dental, PC's NPI number?

The NPI number for First Smiles Dental, PC is 1053657809. It was assigned to this organization in the NPPES registry on December 26, 2012.

Where is First Smiles Dental, PC located?

First Smiles Dental, PC is located at 278 Memorial Dr Suite B, Crystal Lake, IL 60014. The listed phone number is (815) 455-3110.

What is First Smiles Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for First Smiles Dental, PC was last updated on December 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.