Smile More Dentistry Pllc | |
6257 N Clark St Chicago IL 60660-1201 | |
(773) 536-1155 | |
Not Available |
Full Name | Smile More Dentistry Pllc |
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Speciality | Dentist |
Location | 6257 N Clark St, Chicago, Illinois |
Authorized Official Name and Position | Maliha Khan (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7735361155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smile More Dentistry Pllc 6257 N Clark St Chicago IL 60660-1201 Ph: () - | Smile More Dentistry Pllc 6257 N Clark St Chicago IL 60660-1201 Ph: (773) 536-1155 |
NPI Number | 1770211344 |
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Provider Enumeration Date | 08/11/2022 |
Last Update Date | 08/11/2022 |
Medicare PECOS PAC ID | 8628454261 |
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Medicare Enrollment ID | O20221004003634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770211344 | NPI | - | NPPES |
019.032598 | Other | IL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Provider Name | Maliha Khan |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1013527043 PECOS PAC ID: 0547646176 Enrollment ID: I20221004003540 |
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