Beautiful Smiles Mobile Dentistry, Llc

LBN: Beautiful Smiles Mobile Dentistry, Llc
Beautiful Smiles Mobile Dentistry, Llc is an health care organization with primary practice located at 2547 W Springfield Ave Apt 2, Champaign IL 61821-2820. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Beautiful Smiles Mobile Dentistry, Llc can be contacted via phone (217) 552-8503, or through Villalta, Leonor Cecilia via phone (217) 722-4565.

Contact Information

Primary practice address
2547 W Springfield Ave Apt 2 Champaign IL 61821-2820
Phone: (217) 552-8503
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Villalta, Leonor Cecilia Doctor of Dental Surgery (DDS)
Phone: (217) 722-4565

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 019029681 Illinois

Profile Details

NPI number 1386035467
LBN Legal business name Beautiful Smiles Mobile Dentistry, Llc
DBA Doing business as
Authorized official Villalta, Leonor Cecilia Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2015
Last updated Feb 11th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers