OrganizationActive
Big Smiles Center for Orthodontic Excellence LLC
NPI 1689009797 · Health Maintenance Organization · Riverside, IL
Provider details
- NPI number
- 1689009797
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Jerry Udelson, Doctor/Owner
Mailing address
346 Downing Rd
Riverside, IL 60546-1735
Registry dates
- Enumerated
- 2013-09-08
- Last updated
- 2013-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.