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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRYSTAL SMILES DENTAL
NPI 1104732684
Dentist - General Practice in North Riverside, IL

Active since August 24, 2026
8917 W CERMAK RD, NORTH RIVERSIDE, IL 60546(708) 442-8787 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Crystal Smiles Dental NPPES

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

CRYSTAL SMILES DENTAL (NPI 1104732684) is a healthcare organization registered as a general practice in North Riverside, Illinois and active in the NPI registry since August 2026. The organization lists Simon A Tadros, Owner, as its authorized official.

NPPES Registry Identity

NPI1104732684
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRYSTAL SMILES DENTAL
Location Address8917 W CERMAK RDNorth Riverside, IL 60546-1163
Mailing Address8917 W Cermak RdNorth Riverside, IL 60546-1163
Phone(708) 442-8787
Organization SubpartYes
Authorized OfficialSimon A TadrosOwner · (708) 307-4908
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 23, 2026
✔ NPI 1104732684 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.
8917 W CERMAK RD, North Riverside, IL 60546
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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 2

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

DR. JOHN PAUL LENZ D.D.S.
Dentist (General Practice)
8917 W CERMAK RD
NORTH RIVERSIDE, IL 60546
Cook County (708) 442-8787
JOHN LENZ DDS, PC
Clinic/Center (Dental)
8917 W CERMAK RD
NORTH RIVERSIDE, IL 60546
Cook County (708) 442-8787

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 Crystal Smiles Dental's NPI number?

The NPI number for Crystal Smiles Dental is 1104732684. It was assigned to this organization in the NPPES registry on August 24, 2026.

Where is Crystal Smiles Dental located?

Crystal Smiles Dental is located at 8917 W Cermak Rd, North Riverside, IL 60546. The listed phone number is (708) 442-8787.

What is Crystal Smiles Dental'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 Crystal Smiles Dental was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.