Beautiful Smiles Mobile Dentistry, LLC
Beautiful Smiles Mobile Dentistry, LLC is a Preferred Provider Organization in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2547 W Springfield Ave Apt 2Champaign, IL 61821-2820
Phone: (217) 552-8503
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 019029681 (IL) |
|---|
Record details
| NPI number | 1386035467 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leonor Villalta — Managing Dentist · (217) 722-4565 |
| NPI enumerated | February 11, 2015 |
| Last updated in NPPES | February 11, 2015 |
| Mailing address | 2547 W Springfield Ave, Apt 2, Champaign, IL 61821-2820 |