OrganizationActive
Illini Smiles Dental Care P.C.
NPI 1417208455 · General Practice Dentistry · Rantoul, IL
Provider details
- NPI number
- 1417208455
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Yudong Xu, President(217) 364-7235
- License
- 019026810 (IL)
Specialties & taxonomies
Dental Providers
Practice location
730 Enterprise
Rantoul, IL 61866-3689
Phone: (217) 364-7235
Approximate (ZIP-level) locationGet directions
Mailing address
2803 Cherry Hills Dr
Champaign, IL 61822-7541
Other names (DBA / former)
- Doing business as
- Angel Smiles Dental Center
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.