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IDENTICAL SMILES LLC
NPI 1760377279
Dentist - General Practice in Oak Lawn, IL

Active since June 12, 2025
4647 W 103RD ST STE 1M, OAK LAWN, IL 60453(708) 424-2150 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Identical Smiles Llc NPPES

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

IDENTICAL SMILES LLC (NPI 1760377279) is a healthcare organization registered as a general practice in Oak Lawn, Illinois and active in the NPI registry since June 2025. The organization lists Mario Copello, Owner, as its authorized official.

NPPES Registry Identity

NPI1760377279
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDENTICAL SMILES LLC
Location Address4647 W 103RD ST STE 1MOak Lawn, IL 60453-4874
Mailing Address4647 W 103rd St Ste 1mOak Lawn, IL 60453-4874 · (708) 424-2150
Phone(708) 424-2150
Organization SubpartNo
Authorized OfficialMario CopelloOwner · (404) 786-3114
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1760377279 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.
4647 W 103RD ST STE 1M, Oak Lawn, IL 60453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISAAC LEE DMD
Dentist (General Practice)
4647 W 103RD ST STE 1M
OAK LAWN, IL 60453
Cook County (708) 424-2150

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 Identical Smiles LLC's NPI number?

The NPI number for Identical Smiles LLC is 1760377279. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Identical Smiles LLC located?

Identical Smiles LLC is located at 4647 W 103rd St Ste 1M, Oak Lawn, IL 60453. The listed phone number is (708) 424-2150.

What is Identical Smiles LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Identical Smiles LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Identical Smiles LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Identical Smiles LLC was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.