OrganizationActive
Fantastic Smiles Ltd.
NPI 1104254630 · Dental Clinic/Center · Mt Prospect, IL
Fantastic Smiles Ltd. is a Dental Clinic/Center organization in Mt Prospect, IL (NPI 1104254630).
Provider details
- NPI number
- 1104254630
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ewa Koser, President(847) 577-5464
- License
- 019-024294 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 W Kensington Rd
Suite 2a
Mt Prospect, IL 60056-1293
Phone: (847) 577-5464
Fax: (847) 577-5474
Street-level locationGet directions
Mailing address
250 W Kensington Rd
Mt Prospect, IL 60056-1293
Registry dates
- Enumerated
- 2013-10-18
- Last updated
- 2013-10-18
Frequently asked questions
- What is Fantastic Smiles Ltd.'s NPI number?
- Fantastic Smiles Ltd.'s National Provider Identifier (NPI) is 1104254630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fantastic Smiles Ltd.?
- Fantastic Smiles Ltd. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fantastic Smiles Ltd. located?
- Fantastic Smiles Ltd.'s practice location on file with NPPES is 250 W Kensington Rd, Mt Prospect, IL 60056-1293.
- What is Fantastic Smiles Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Fantastic Smiles Ltd. is (847) 577-5464.
- Who is the authorized official for Fantastic Smiles Ltd.?
- The authorized official listed on Fantastic Smiles Ltd.'s NPPES record is Ewa Koser, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fantastic Smiles Ltd.'s NPI active?
- Yes — Fantastic Smiles Ltd.'s NPI (1104254630) is active in the NPPES registry as of the last update on 2013-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.