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Beautiful Smiles Mobile Dentistry, Llc
Preferred Provider Organization in Champaign, Illinois
NPI 1386035467

Beautiful Smiles Mobile Dentistry, Llc is a Preferred Provider Organization based in Champaign, IL. Beautiful Smiles Mobile Dentistry, Llc practices in Champaign, IL. The NPI Number for Beautiful Smiles Mobile Dentistry, Llc is 1386035467 and holds a License No. 019029681 (Illinois).

The current practice location address for Beautiful Smiles Mobile Dentistry, Llc is 2547 W Springfield Ave, Champaign, IL and can be reached out via phone at 217-552-8503.

Location: 2547 W Springfield Ave, Champaign, IL, 61821-2820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386035467
Provider Name
Beautiful Smiles Mobile Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
2547 W Springfield Ave, Champaign, IL, 61821-2820
Phone Number
217-552-8503
Fax Number
Provider Enumeration Date
02/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2547 W Springfield Ave
City
Champaign
State
Illinois
Zip
61821-2820
Phone Number
217-552-8503
Fax Number
person
Provider Business Mailing Address Details
Address
2547 W Springfield Ave
City
Champaign
State
Illinois
Zip
61821-2820
Phone Number
217-552-8503
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
019029681 (Illinois)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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