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ILLINI SMILES DENTAL CARE PC
NPI 1205245693
Dentist - General Practice in Champaign, IL

Active since August 11, 2014
201 W SPRINGFIELD AVE STE 506, CHAMPAIGN, IL 61820(217) 356-3335 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Illini Smiles Dental Care Pc NPPES

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

ILLINI SMILES DENTAL CARE PC (NPI 1205245693) is a healthcare organization registered as a general practice in Champaign, Illinois and active in the NPI registry since August 2014. The organization lists Yudong Xu, President, as its authorized official.

NPPES Registry Identity

NPI1205245693
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameILLINI SMILES DENTAL CARE PC
Location Address201 W SPRINGFIELD AVE STE 506Champaign, IL 61820-6383
Mailing Address701 Devonshire Dr, D-1Champaign, IL 61820-7337 · (217) 356-3335
Phone(217) 356-3335
Organization SubpartNo
Authorized OfficialYudong XuPresident · (217) 356-3335
Enumeration DateAugust 11, 2014
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1205245693 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 · 019026810
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.
201 W SPRINGFIELD AVE STE 506, Champaign, IL 61820
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 PC's NPI number?

The NPI number for Illini Smiles Dental Care PC is 1205245693. It was assigned to this organization in the NPPES registry on August 11, 2014.

Where is Illini Smiles Dental Care PC located?

Illini Smiles Dental Care PC is located at 201 W Springfield Ave Ste 506, Champaign, IL 61820. The listed phone number is (217) 356-3335.

What is Illini Smiles Dental Care PC's specialty?

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

What insurance does Illini Smiles Dental Care PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Illini Smiles Dental Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Illini Smiles Dental Care PC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.