Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Klean Smiles Southport PLLC

Organization Dental Clinic/Center · NPI 1689569931

Klean Smiles Southport PLLC is a Dental Clinic/Center in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3712 N Southport Ave
Chicago, IL 60613-6889
Phone: (269) 348-5758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1689569931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nilay Patel — Owner · (269) 348-5758
NPI enumeratedJune 9, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address3712 N Southport Ave, Chicago, IL 60613-6889

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