| Smile Suite Orthodontics | |
|
2422 Main St Evanston IL 60202-1548 | |
| (847) 264-9330 | |
| (618) 217-5367 |
| Full Name | Smile Suite Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2422 Main St, Evanston, Illinois |
| Authorized Official Name and Position | Kimberly Smith (ORTHODONTIST) |
| Authorized Official Contact | 8478331272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Suite Orthodontics 2422 Main St Evanston IL 60202-1548 Ph: (847) 264-9330 | Smile Suite Orthodontics 2422 Main St Evanston IL 60202-1548 Ph: (847) 264-9330 |
| NPI Number | 1548889496 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548889496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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