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LITTLE TEETH BIG SMILES & CHILDREN'S DENTISTRY
NPI 1881885127
Dentist - Pediatric Dentistry in Forest Park, IL

Active since August 01, 2007Opted out of Medicare · through Feb 4, 2028
1125 HARLEM AVE, FOREST PARK, IL 60130(708) 386-5437(708) 771-5439 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Little Teeth Big Smiles & Children's Dentistry NPPES

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

LITTLE TEETH BIG SMILES & CHILDREN'S DENTISTRY (NPI 1881885127) is a healthcare organization registered as a pediatric dentistry in Forest Park, Illinois and active in the NPI registry since August 2007. The organization has opted out of Medicare through February 4, 2028 and remains eligible to order and refer and lists Jerry E Udelson, President, as its authorized official.

NPPES Registry Identity

NPI1881885127
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJERRY E UDELSON, DDS, PC
Location Address1125 HARLEM AVEForest Park, IL 60130-2337
Mailing Address1125 Harlem AveForest Park, IL 60130-2337 · (708) 386-5437 · Fax (708) 771-5439
Phone(708) 386-5437
Fax(708) 771-5439
Organization SubpartNo
Authorized OfficialJerry E UdelsonPresident · (708) 386-5437
Enumeration DateAugust 1, 2007
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1881885127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021001495
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1125 HARLEM AVE, Forest Park, IL 60130
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Other Names 1

Doing Business AsLittle Teeth Big Smiles & Children's Dentistry

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Little Teeth Big Smiles & Children's Dentistry has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 4, 2016 through February 4, 2028.

Opt-Out Effective DateFebruary 4, 2016
Opt-Out In Effect ThroughFebruary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JERRY UDELSON DDS
Dentist (Pediatric Dentistry)
1125 HARLEM AVE
FOREST PARK, IL 60130
Cook County (708) 386-5437
DR. ARA CHO D.M.D.
Dentist (Pediatric Dentistry)
1125 HARLEM AVE
FOREST PARK, IL 60130
Cook County (708) 386-5437

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 Jerry E Udelson, Dds, PC's NPI number?

The NPI number for Jerry E Udelson, Dds, PC is 1881885127. It was assigned to this organization in the NPPES registry on August 1, 2007. The provider is doing business as Little Teeth Big Smiles & Children's Dentistry.

Where is Jerry E Udelson, Dds, PC located?

Jerry E Udelson, Dds, PC is located at 1125 Harlem Ave, Forest Park, IL 60130. The listed phone number is (708) 386-5437.

What is Jerry E Udelson, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jerry E Udelson, Dds, PC enrolled in Medicare?

No. Jerry E Udelson, Dds, PC has opted out of Medicare through February 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jerry E Udelson, Dds, PC was last updated on July 17, 2024. 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.