SHINING SMILES 4, INC
NPI 1922547264
Dentist - General Practice in Joliet, IL

Active since February 20, 2017
110 N LARKIN AVE, JOLIET, IL 60435(630) 972-4010 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shining Smiles 4, Inc NPPES

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

SHINING SMILES 4, INC (NPI 1922547264) is a healthcare organization registered as a general practice in Joliet, Illinois and active in the NPI registry since February 2017. The organization lists Milad Nourahmadi, Secretary, as its authorized official.

NPPES Registry Identity

NPI1922547264
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHINING SMILES 4, INC
Location Address110 N LARKIN AVEJoliet, IL 60435-6603
Mailing Address210 N Bolingbrook DrBolingbrook, IL 60440-2386 · (815) 310-3220
Organization SubpartNo
Authorized OfficialMilad NourahmadiSecretary · (312) 217-2223
Enumeration DateFebruary 20, 2017
NPI 1922547264 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 · 019028115
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.
110 N LARKIN AVE, Joliet, IL 60435

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
110 N LARKIN AVE
JOLIET, IL 60435
Dentist
110 N LARKIN AVE
JOLIET, IL 60435
Dentist (General Practice)
110 N LARKIN AVE
JOLIET, IL 60435

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 Shining Smiles 4, Inc's NPI number?

The NPI number for Shining Smiles 4, Inc is 1922547264. It was assigned to this organization in the NPPES registry on February 20, 2017.

Where is Shining Smiles 4, Inc located?

Shining Smiles 4, Inc is located at 110 N Larkin Ave, Joliet, IL 60435. The listed phone number is (630) 972-4010.

What is Shining Smiles 4, Inc's specialty?

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

What insurance does Shining Smiles 4, Inc accept?

Health plans from UnitedHealthcare list Shining Smiles 4, Inc 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 Shining Smiles 4, Inc was last updated on February 20, 2017. 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.