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THE SMILE FACTORY MOBILE CLINIC LLC
NPI 1871369298
Clinic/Center - Dental in Belleville, IL

Active since November 27, 2023
1040 CARLYLE AVE STE 2A, BELLEVILLE, IL 62221(618) 606-7824 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Smile Factory Mobile Clinic Llc NPPES

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

THE SMILE FACTORY MOBILE CLINIC LLC (NPI 1871369298) is a healthcare organization registered as a dental in Belleville, Illinois and active in the NPI registry since November 2023. The organization lists Sheronta Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1871369298
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTHE SMILE FACTORY MOBILE CLINIC LLC
Location Address1040 CARLYLE AVE STE 2ABelleville, IL 62221-5533
Mailing Address1040 Carlyle Ave Ste 2aBelleville, IL 62221-5533 · (618) 606-7824
Phone(618) 606-7824
Organization SubpartNo
Authorized OfficialSheronta JohnsonOwner · (618) 606-7824
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1871369298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X
1040 CARLYLE AVE STE 2A, Belleville, IL 62221
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Other Names 1

Doing Business AsThe Smile Factory Mobile Clinic Llc

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 The Smile Factory Mobile Clinic LLC's NPI number?

The NPI number for The Smile Factory Mobile Clinic LLC is 1871369298. It was assigned to this organization in the NPPES registry on November 27, 2023.

Where is The Smile Factory Mobile Clinic LLC located?

The Smile Factory Mobile Clinic LLC is located at 1040 Carlyle Ave Ste 2A, Belleville, IL 62221. The listed phone number is (618) 606-7824.

What is The Smile Factory Mobile Clinic 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 The Smile Factory Mobile Clinic LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.