Provider Demographics
NPI:1851519789
Name:NORTH AURORA SMILES, P.C.
Entity Type:Organization
Organization Name:NORTH AURORA SMILES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AZIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-907-1112
Mailing Address - Street 1:601 RANDALL CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-5009
Mailing Address - Country:US
Mailing Address - Phone:630-907-1112
Mailing Address - Fax:630-907-1113
Practice Address - Street 1:601 RANDALL CROSSING LN
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-5009
Practice Address - Country:US
Practice Address - Phone:630-907-1112
Practice Address - Fax:630-907-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL190247821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty