Provider Demographics
NPI:1336903442
Name:NEW SMILE DENTAL CARE, LLC
Entity Type:Organization
Organization Name:NEW SMILE DENTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YONG
Authorized Official - Middle Name:SUK
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-873-3359
Mailing Address - Street 1:33 W HIGGINS RD STE 4080
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9123
Mailing Address - Country:US
Mailing Address - Phone:224-802-8441
Mailing Address - Fax:224-802-8386
Practice Address - Street 1:33 W HIGGINS RD STE 4080
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9123
Practice Address - Country:US
Practice Address - Phone:224-802-8441
Practice Address - Fax:224-802-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental