SKYLINE SMILES
NPI 1093057556
Dentist - General Practice in Chicago, IL

Active since March 22, 2013
1017 W MADISON ST, CHICAGO, IL 60607(312) 759-1120 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Skyline Smiles NPPES

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

SKYLINE SMILES (NPI 1093057556) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since March 2013. The organization lists Deepak Joseph Neduvelil, Owner, as its authorized official.

NPPES Registry Identity

NPI1093057556
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSKYLINE SMILES LLC
Location Address1017 W MADISON STChicago, IL 60607
Mailing Address1017 W Madison StChicago, IL 60607 · (312) 759-1120
Organization SubpartNo
Authorized OfficialDeepak Joseph NeduvelilOwner · (612) 710-3883
Enumeration DateMarch 22, 2013
NPI 1093057556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in IL · 019027964 Licensed in IL · 019027966
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1017 W MADISON ST, Chicago, IL 60607

Other Names 1

Doing Business AsSkyline Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist
1017 W MADISON ST
CHICAGO, IL 60607
Dentist (General Practice)
1017 W MADISON ST
CHICAGO, IL 60607

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 Skyline Smiles LLC's NPI number?

The NPI number for Skyline Smiles LLC is 1093057556. It was assigned to this organization in the NPPES registry on March 22, 2013. The provider is doing business as Skyline Smiles.

Where is Skyline Smiles LLC located?

Skyline Smiles LLC is located at 1017 W Madison St, Chicago, IL 60607. The listed phone number is (312) 759-1120.

What is Skyline Smiles LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Skyline Smiles LLC was last updated on March 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.