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BRICKYARD FAMILY DENTAL
NPI 1114190675
Dentist - General Practice in Chicago, IL

Active since April 04, 2008
2620 N NARRAGANSETT AVE # B13, CHICAGO, IL 60639(312) 520-5545 Get Directions Write a Review

NPPES record last updated: August 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brickyard Family Dental NPPES

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

BRICKYARD FAMILY DENTAL (NPI 1114190675) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2008. The organization lists Kyui Hyun Kim, President, as its authorized official.

NPPES Registry Identity

NPI1114190675
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE AVENUE DENTAL PC
Location Address2620 N NARRAGANSETT AVE # B13Chicago, IL 60639-1081
Mailing Address2620 N Narragansett Ave # B13Chicago, IL 60639-1081 · (312) 520-5545
Phone(312) 520-5545
Organization SubpartNo
Authorized OfficialKyui Hyun KimPresident · (312) 520-5545
Enumeration DateApril 4, 2008
Last NPPES UpdateAugust 30, 2008
✔ NPI 1114190675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019027115
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.
2620 N NARRAGANSETT AVE # B13, Chicago, IL 60639
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Other Names 1

Doing Business AsBrickyard Family Dental

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

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 Smile Avenue Dental PC's NPI number?

The NPI number for Smile Avenue Dental PC is 1114190675. It was assigned to this organization in the NPPES registry on April 4, 2008. The provider is doing business as Brickyard Family Dental.

Where is Smile Avenue Dental PC located?

Smile Avenue Dental PC is located at 2620 N Narragansett Ave # B13, Chicago, IL 60639. The listed phone number is (312) 520-5545.

What is Smile Avenue Dental PC'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 Smile Avenue Dental PC was last updated on August 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.