| Organization Name: | DUNDEE SMILE CENTER, LTD. |
| NPI Number: | 1215190012 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT B. JOHN (PRESIDENT/CEO) |
| Mailing Address: | 201 Penny Ave Suite 300 East Dundee |
| State: | IL US |
| Postal Code: | 601181431 |
| Phone Number: | 8474288700 |
| Fax Number: | 8474288703 |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 019020000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |