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THAT CERTAIN SMILE
NPI 1396958864
Dentist - General Practice in Chicago, IL

Active since May 08, 2007
4511 S LAKE PARK AVE 1N, CHICAGO, IL 60653(708) 218-3296(708) 575-0401 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About That Certain Smile NPPES

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

THAT CERTAIN SMILE (NPI 1396958864) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Tina Michell Harris, Owner, as its authorized official.

NPPES Registry Identity

NPI1396958864
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHAT CERTAIN SMILE
Location Address4511 S LAKE PARK AVE 1NChicago, IL 60653-1461
Mailing Address4511 S Lake Park Ave 1nChicago, IL 60653-1461 · (708) 218-3296 · Fax (708) 575-0401
Phone(708) 218-3296
Fax(708) 575-0401
Organization SubpartNo
Authorized OfficialTina Michell HarrisOwner · (708) 218-3296
Enumeration DateMay 8, 2007
Last NPPES UpdateDecember 26, 2013
✔ NPI 1396958864 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.
4511 S LAKE PARK AVE 1N, Chicago, IL 60653
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 That Certain Smile's NPI number?

The NPI number for That Certain Smile is 1396958864. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is That Certain Smile located?

That Certain Smile is located at 4511 S Lake Park Ave 1N, Chicago, IL 60653. The listed phone number is (708) 218-3296.

What is That Certain Smile'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 That Certain Smile was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.