| Smile Family Dental | |
|
1768 Douglas Rd Oswego IL 60543-5112 | |
| (630) 554-5858 | |
| Not Available |
| Full Name | Smile Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1768 Douglas Rd, Oswego, Illinois |
| Authorized Official Name and Position | Sobia Shaikh (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6305545858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Family Dental 1768 Douglas Rd Oswego IL 60543-5112 Ph: (630) 554-5858 | Smile Family Dental 1768 Douglas Rd Oswego IL 60543-5112 Ph: (630) 554-5858 |
| NPI Number | 1598108904 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598108904 | NPI | - | NPPES |
| 019027753 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027753 (Illinois) | Primary |
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