Provider Demographics
NPI:1548947948
Name:SMILES OF ARLINGTON HEIGHTS
Entity type:Organization
Organization Name:SMILES OF ARLINGTON HEIGHTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIYADARSHINI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOINPALLY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-338-7080
Mailing Address - Street 1:483 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-2907
Mailing Address - Country:US
Mailing Address - Phone:330-338-7080
Mailing Address - Fax:
Practice Address - Street 1:44 S VAIL AVE STE 105
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1879
Practice Address - Country:US
Practice Address - Phone:847-253-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental