OrganizationActive
That Certain Smile
NPI 1396958864 · General Practice Dentistry · Chicago, IL
That Certain Smile is a General Practice Dentistry organization in Chicago, IL (NPI 1396958864).
Provider details
- NPI number
- 1396958864
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tina Harris, Owner(708) 218-3296
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4511 S Lake Park Ave 1n
Chicago, IL 60653-1461
Phone: (708) 218-3296
Fax: (708) 575-0401
Street-level locationGet directions
Mailing address
4511 S Lake Park Ave 1n
Chicago, IL 60653-1461
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2013-12-26
Frequently asked questions
- What is That Certain Smile's NPI number?
- That Certain Smile's National Provider Identifier (NPI) is 1396958864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is That Certain Smile?
- That Certain Smile is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is That Certain Smile located?
- That Certain Smile's practice location on file with NPPES is 4511 S Lake Park Ave 1n, Chicago, IL 60653-1461.
- What is That Certain Smile's phone number?
- The practice phone number listed in the NPPES registry for That Certain Smile is (708) 218-3296.
- Who is the authorized official for That Certain Smile?
- The authorized official listed on That Certain Smile's NPPES record is Tina Harris, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is That Certain Smile's NPI active?
- Yes — That Certain Smile's NPI (1396958864) is active in the NPPES registry as of the last update on 2013-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.