ILLUMINATE FAMILY & COSMETIC DENTISTRY, LLC
NPI 1154023109
Dentist in Cincinnati, OH

Active since March 21, 2023
11333 SPRINGFIELD PIKE, CINCINNATI, OH 45246(513) 772-0722 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Illuminate Family & Cosmetic Dentistry, Llc NPPES

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

ILLUMINATE FAMILY & COSMETIC DENTISTRY, LLC (NPI 1154023109) is a healthcare organization registered as a dentist in Cincinnati, Ohio and active in the NPI registry since March 2023. The organization lists Rachelle Boudreau, Owner, as its authorized official.

NPPES Registry Identity

NPI1154023109
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameILLUMINATE FAMILY & COSMETIC DENTISTRY, LLC
Location Address11333 SPRINGFIELD PIKECincinnati, OH 45246-4201
Mailing Address11333 Springfield PikeCincinnati, OH 45246-4201 · (513) 772-0722
Organization SubpartNo
Authorized OfficialRachelle BoudreauOwner · (513) 772-0722
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1154023109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11333 SPRINGFIELD PIKE, Cincinnati, OH 45246

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 4

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

Dentist
11333 SPRINGFIELD PIKE
CINCINNATI, OH 45246
Dentist (General Practice)
11333 SPRINGFIELD PIKE
CINCINNATI, OH 45246
Dentist (General Practice)
11333 SPRINGFIELD PIKE
CINCINNATI, OH 45246
Dentist (General Practice)
11333 SPRINGFIELD PIKE
CINCINNATI, OH 45246

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 Illuminate Family & Cosmetic Dentistry, LLC's NPI number?

The NPI number for Illuminate Family & Cosmetic Dentistry, LLC is 1154023109. It was assigned to this organization in the NPPES registry on March 21, 2023.

Where is Illuminate Family & Cosmetic Dentistry, LLC located?

Illuminate Family & Cosmetic Dentistry, LLC is located at 11333 Springfield Pike, Cincinnati, OH 45246. The listed phone number is (513) 772-0722.

What is Illuminate Family & Cosmetic Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Illuminate Family & Cosmetic Dentistry, LLC was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.