SMILES OF NORTHLAKE CORP
NPI 1265102487
Dentist - General Practice in Northlake, IL

Active since September 18, 2021
32 E NORTH AVE, NORTHLAKE, IL 60164(732) 325-4395 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, Sep 18, 2021 (2 updates tracked since 2021).

About Smiles Of Northlake Corp NPPES

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

SMILES OF NORTHLAKE CORP (NPI 1265102487) is a healthcare organization registered as a general practice in Northlake, Illinois and active in the NPI registry since September 2021. The organization lists Mansi Mehta, President, as its authorized official.

NPPES Registry Identity

NPI1265102487
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILES OF NORTHLAKE CORP
Location Address32 E NORTH AVENorthlake, IL 60164-2500
Mailing Address32 E North AveNorthlake, IL 60164-2500 · (708) 562-1105
Organization SubpartNo
Authorized OfficialMansi MehtaPresident · (732) 325-4395
Enumeration DateSeptember 18, 2021
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
NPI 1265102487 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.
32 E NORTH AVE, Northlake, IL 60164

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.

Dentist (General Practice)
32 E NORTH AVE
NORTHLAKE, IL 60164
Dentist (General Practice)
32 E NORTH AVE
NORTHLAKE, IL 60164

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 Smiles Of Northlake Corp's NPI number?

The NPI number for Smiles Of Northlake Corp is 1265102487. It was assigned to this organization in the NPPES registry on September 18, 2021.

Where is Smiles Of Northlake Corp located?

Smiles Of Northlake Corp is located at 32 E North Ave, Northlake, IL 60164. The listed phone number is (732) 325-4395.

What is Smiles Of Northlake Corp'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 Smiles Of Northlake Corp was last updated on October 17, 2022. 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.