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ILLINI SMILES DENTAL CARE P.C.
NPI 1104346220
Dentist - General Practice in Paxton, IL

Active since June 20, 2017
225 N MARKET ST, PAXTON, IL 60957(217) 379-4614 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illini Smiles Dental Care P.c. NPPES

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

ILLINI SMILES DENTAL CARE P.C. (NPI 1104346220) is a healthcare organization registered as a general practice in Paxton, Illinois and active in the NPI registry since June 2017. The organization lists Yudong Xu, President, as its authorized official.

NPPES Registry Identity

NPI1104346220
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameILLINI SMILES DENTAL CARE P.C.
Location Address225 N MARKET STPaxton, IL 60957-1189
Mailing Address730 EnterpriseRantoul, IL 61866-3689 · (217) 892-8868
Phone(217) 379-4614
Organization SubpartNo
Authorized OfficialYudong XuPresident · (217) 892-8868
Enumeration DateJune 20, 2017
✔ NPI 1104346220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
225 N MARKET ST, Paxton, IL 60957
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CROSSING DENTAL CARE
Dentist (General Practice)
225 N MARKET ST
PAXTON, IL 60957
Ford County (217) 356-3335
DESIGNING SMILES LTD.
Health Maintenance Organization
225 N MARKET ST
PAXTON, IL 60957
Ford County (217) 379-4667
DENTAL HEALTH DESIGNS LTD
Dentist (General Practice)
225 N MARKET ST
PAXTON, IL 60957
Ford County (217) 379-4614

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 Illini Smiles Dental Care P.C.'s NPI number?

The NPI number for Illini Smiles Dental Care P.C. is 1104346220. It was assigned to this organization in the NPPES registry on June 20, 2017.

Where is Illini Smiles Dental Care P.C. located?

Illini Smiles Dental Care P.C. is located at 225 N Market St, Paxton, IL 60957. The listed phone number is (217) 379-4614.

What is Illini Smiles Dental Care P.C.'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 Illini Smiles Dental Care P.C. was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.