Healthcare Provider Details

I. General information

NPI: 1912864018
Provider Name (Legal Business Name): SMILE FAMILY DENTAL OFFICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2726 WILSHIRE CT
AURORA IL
60502-2316
US

IV. Provider business mailing address

2726 WILSHIRE CT
AURORA IL
60502-2316
US

V. Phone/Fax

Practice location:
  • Phone: 630-788-9489
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: WOOYOUNG CHOI
Title or Position: OWNER
Credential:
Phone: 630-788-9489