DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: YOUR SMILE BY DESIGN, P.C.

MEDICARE: YOUR SMILE BY DESIGN, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency019025292IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528231404
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR SMILE BY DESIGN, P.C.
Provider Business Mailing Address
First Line : 1635 W BELMONT AVE
Second Line : UNIT 708
City : CHICAGO
State : IL
Zip : 60657-3047
Country : US
Telephone Number : 773-327-6692
Fax Number :
Provider Business Practice Location Address
First Line : 3939 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2243
Country : US
Telephone Number : 773-235-0000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID INGALLINERA
Credential : D.D.S.
Telephone Number : 773-327-6692
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/15/2008

Similar Medicare Providers

1114068350 — VI QUAN QUAN D.M.D.
Practice Location Address:
3939 W FULLERTON AVE
CHICAGO, IL
60647-2243
Practice Phone: 773-235-0000
Practice Fax:
1851422695 — DR. BELINDA AMESTY DDS
Practice Location Address:
3939 W FULLERTON AVE
CHICAGO, IL
60647-2243
Practice Phone: 773-235-0000
Practice Fax:
1164626511 — DR. ORLEANYS DEL CARMEN D.D.S.
Practice Location Address:
3939 W FULLERTON AVE
CHICAGO, IL
60647-2243
Practice Phone: 773-325-0000
Practice Fax:
1316110547 — FULLSMILE FAMILY DENTIST
Practice Location Address:
3939 W FULLERTON AVE
CHICAGO, IL
60647-2243
Practice Phone: 773-235-0000
Practice Fax: 773-235-0001
1093968869 — BLANCA MURILLO DDS
Practice Location Address:
3939 W FULLERTON AVE
CHICAGO, IL
60647-2243
Practice Phone: 773-235-0000
Practice Fax:
1831411990 — VI Q QUAN DMD PC
Practice Location Address:
3939 W FULLERTON AVE
CHICAGO, IL
60647-2243
Practice Phone: 773-235-0000
Practice Fax:

Directions to “YOUR SMILE BY DESIGN, P.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.