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

Shining Smiles Riverside Inc

Organization Dentist · NPI 1699214155

Shining Smiles Riverside Inc is a Dentist in Riverside, 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

2720 Harlem Ave
Riverside, IL 60546-1738
Phone: (708) 321-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028115 (IL)

Record details

NPI number1699214155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Milad Nourahmadi — President · (312) 217-2223
NPI enumeratedFebruary 16, 2017
Last updated in NPPESFebruary 16, 2017
Mailing address210 N Bolingbrook Dr, Bolingbrook, IL 60440-2386

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