ILLINI SMILES DENTAL CARE P.C.
NPI 1457227605
Dentist - General Practice in Mahomet, IL

Active since October 15, 2025
200 EASTWOOD DR, MAHOMET, IL 61853(217) 586-5667 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illini Smiles Dental Care P.c. NPPES

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

ILLINI SMILES DENTAL CARE P.C. (NPI 1457227605) is a healthcare organization registered as a general practice in Mahomet, Illinois and active in the NPI registry since October 2025. The organization maintains a secondary practice location in Onarga and lists Yudong Xu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457227605
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameILLINI SMILES DENTAL CARE P.C.
Location Address200 EASTWOOD DRMahomet, IL 61853-7035
Mailing Address200 Eastwood DrMahomet, IL 61853-7035 · (217) 586-5667
Organization SubpartNo
Authorized OfficialYudong XuCeo · (217) 892-8868
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1457227605 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.
200 EASTWOOD DR, Mahomet, IL 61853

Secondary Practice Location 1

Location 1109 N Chestnut St Ste 4Onarga, IL 60955-1255 · Phone (815) 268-0033

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

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 P.C.'s NPI number?

The NPI number for Illini Smiles Dental Care P.C. is 1457227605. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Illini Smiles Dental Care P.C. located?

Illini Smiles Dental Care P.C. is located at 200 Eastwood Dr, Mahomet, IL 61853. The listed phone number is (217) 586-5667.

What is Illini Smiles Dental Care P.C.'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 Illini Smiles Dental Care P.C. was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.