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ILLINI SMILES DENTAL CARE PC
NPI 1891245957
Dentist - General Practice in Champaign, IL

Active since October 12, 2016
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820(217) 356-3335 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illini Smiles Dental Care Pc NPPES

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

ILLINI SMILES DENTAL CARE PC (NPI 1891245957) is a healthcare organization registered as a general practice in Champaign, Illinois and active in the NPI registry since October 2016. The organization lists Yudong Xu, Onwer, as its authorized official.

NPPES Registry Identity

NPI1891245957
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameILLINI SMILES DENTAL CARE PC
Location Address303 W SPRINGFIELD AVEChampaign, IL 61820-4817
Mailing Address303 W Springfield AveChampaign, IL 61820-4817 · (217) 356-3335
Phone(217) 356-3335
Organization SubpartYes
Authorized OfficialYudong XuOnwer · (217) 356-3335
Enumeration DateOctober 12, 2016
✔ NPI 1891245957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019026810
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.
303 W SPRINGFIELD AVE, Champaign, IL 61820
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Other Identifiers 1

Medicaid9178971IL

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

Other Providers at the Same Location NPPES 6

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

ADRIAN KANG-SAN KIM DMD
Student in an Organized Health Care Education/Training Program
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
Champaign County (217) 356-3335
DAVID MOON DDS
Dentist (General Practice)
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
Champaign County (217) 356-3335
YUDONG XU DMD
Dentist (General Practice)
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
Champaign County (217) 356-3335
DR. SCOTT WILLIAM TODD DMD
Dentist (General Practice)
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
Champaign County (217) 356-3335
EBAD SYED MUQTADER
Dentist (General Practice)
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
Champaign County (217) 356-3335
SEOKJAE SON D.M.D
Dentist
303 W SPRINGFIELD AVE
CHAMPAIGN, IL 61820
Champaign County (217) 356-3335

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 PC's NPI number?

The NPI number for Illini Smiles Dental Care PC is 1891245957. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Illini Smiles Dental Care PC located?

Illini Smiles Dental Care PC is located at 303 W Springfield Ave, Champaign, IL 61820. The listed phone number is (217) 356-3335.

What is Illini Smiles Dental Care PC'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 PC was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.