| Signature Smile Arts, Pc | |
|
18114 Gottschalk Ave Homewood IL 60430-2208 | |
| (708) 799-5353 | |
| Not Available |
| Full Name | Signature Smile Arts, Pc |
|---|---|
| Speciality | Dentist |
| Location | 18114 Gottschalk Ave, Homewood, Illinois |
| Authorized Official Name and Position | Alexander Michael Shore (OWNER/ PRESIDENT) |
| Authorized Official Contact | 7087995353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smile Arts, Pc 1001 S State St Unit 1401 Chicago IL 60605-2231 Ph: (248) 345-3521 | Signature Smile Arts, Pc 18114 Gottschalk Ave Homewood IL 60430-2208 Ph: (708) 799-5353 |
| NPI Number | 1619613775 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 02/20/2023 |
| Medicare PECOS PAC ID | 7719350131 |
|---|---|
| Medicare Enrollment ID | O20230307000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619613775 | NPI | - | NPPES |
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