| Smilehealthy | |
|
819 Bloomington Road Champaign IL 61820 | |
| (217) 359-7404 | |
| (217) 403-5469 |
| Full Name | Smilehealthy |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 819 Bloomington Road, Champaign, Illinois |
| Authorized Official Name and Position | Jennifer Henry (CEO) |
| Authorized Official Contact | 2174035401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilehealthy 819 Bloomington Road Champaign IL 61820 Ph: (217) 359-4704 | Smilehealthy 819 Bloomington Road Champaign IL 61820 Ph: (217) 359-7404 |
| NPI Number | 1407005879 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407005879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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