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SMILEX DENTAL LLC
NPI 1740099241
Clinic/Center - Dental in Milwaukee, WI

Active since December 31, 2024
924 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 744-6777 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smilex Dental Llc NPPES

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

SMILEX DENTAL LLC (NPI 1740099241), doing business as Legacy Dental, is a healthcare organization registered as a dental in Milwaukee, Wisconsin and active in the NPI registry since December 2024. The organization lists Joon Jae Park, President/owner, as its authorized official.

NPPES Registry Identity

NPI1740099241
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSMILEX DENTAL LLC
Location Address924 W OKLAHOMA AVEMilwaukee, WI 53215-4744
Mailing Address924 W Oklahoma AveMilwaukee, WI 53215-4744 · (414) 744-6777
Phone(414) 744-6777
Organization SubpartNo
Authorized OfficialJoon Jae ParkPresident/owner · (262) 720-4669
Enumeration DateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
✔ NPI 1740099241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
924 W OKLAHOMA AVE, Milwaukee, WI 53215
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Other Names 1

Doing Business AsLegacy Dental

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.

MR. HEATHER A PETERMAN DAOMC,MSOM, LAC, LMT
Acupuncturist
924 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 882-7897
DR. THERESE MARIE CHESKI N.D.
Naturopath
924 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 744-0300

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 Smilex Dental LLC's NPI number?

The NPI number for Smilex Dental LLC is 1740099241. It was assigned to this organization in the NPPES registry on December 31, 2024. The provider is doing business as Legacy Dental.

Where is Smilex Dental LLC located?

Smilex Dental LLC is located at 924 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 744-6777.

What is Smilex Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Smilex Dental LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.