BEAUTIFUL SMILES MOBILE DENTISTRY, LLC
NPI 1386035467
Preferred Provider Organization in Champaign, IL

Q: What is Beautiful Smiles Mobile Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since February 11, 2015

2547 W SPRINGFIELD AVE, APT 2, CHAMPAIGN, IL 61821(217) 552-8503 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Beautiful Smiles Mobile Dentistry, Llc NPPES

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

BEAUTIFUL SMILES MOBILE DENTISTRY, LLC (NPI 1386035467) is a healthcare organization registered as a preferred provider organization in Champaign, Illinois and active in the NPI registry since February 2015. The organization lists Leonor Cecilia Villalta, Managing Dentist, as its authorized official.

NPPES Registry Identity

NPI1386035467

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameBEAUTIFUL SMILES MOBILE DENTISTRY, LLC

Location Address2547 W SPRINGFIELD AVE, APT 2Champaign, IL 61821-2820

Mailing Address2547 W Springfield Ave, Apt 2Champaign, IL 61821-2820 · (217) 552-8503

Phone(217) 552-8503

Organization SubpartNo

Authorized OfficialLeonor Cecilia VillaltaManaging Dentist · (217) 722-4565

Enumeration DateFebruary 11, 2015

✔ NPI 1386035467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in IL · 019029681

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

2547 W SPRINGFIELD AVE, Champaign, IL 61821

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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 Beautiful Smiles Mobile Dentistry, LLC's NPI number?

The NPI number for Beautiful Smiles Mobile Dentistry, LLC is 1386035467. It was assigned to this organization in the NPPES registry on February 11, 2015.

Where is Beautiful Smiles Mobile Dentistry, LLC located?

Beautiful Smiles Mobile Dentistry, LLC is located at 2547 W Springfield Ave Apt 2, Champaign, IL 61821. The listed phone number is (217) 552-8503.

What is Beautiful Smiles Mobile Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Beautiful Smiles Mobile Dentistry, LLC was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.