OrganizationActive
Beautiful Smiles Mobile Dentistry, LLC
NPI 1386035467 · Preferred Provider Organization · Champaign, IL
Provider details
- NPI number
- 1386035467
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Leonor Villalta, Managing Dentist(217) 722-4565
- License
- 019029681 (IL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2547 W Springfield Ave
Apt 2
Champaign, IL 61821-2820
Phone: (217) 552-8503
Street-level locationGet directions
Mailing address
2547 W Springfield Ave
Champaign, IL 61821-2820
Registry dates
- Enumerated
- 2015-02-11
- Last updated
- 2015-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.