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

Shining Smiles 4, Inc

Organization General Practice Dentistry · NPI 1922547264

Shining Smiles 4, Inc is a General Practice Dentistry in Joliet, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 N Larkin Ave
Joliet, IL 60435-6603
Phone: (630) 972-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019028115 (IL)

Record details

NPI number1922547264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Milad Nourahmadi — Secretary · (312) 217-2223
NPI enumeratedFebruary 20, 2017
Last updated in NPPESFebruary 20, 2017
Mailing address210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386

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