OrganizationActive
Shining Smiles 4, Inc
NPI 1922547264 · General Practice Dentistry · Joliet, IL
Shining Smiles 4, Inc is a General Practice Dentistry organization in Joliet, IL (NPI 1922547264).
Provider details
- NPI number
- 1922547264
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Milad Nourahmadi, Secretary(312) 217-2223
- License
- 019028115 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
110 N Larkin Ave
Joliet, IL 60435-6603
Phone: (630) 972-4010
Street-level locationGet directions
Mailing address
210 N Bolingbrook Dr
Bolingbrook, IL 60440-2386
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2017-02-20
Frequently asked questions
- What is Shining Smiles 4, Inc's NPI number?
- Shining Smiles 4, Inc's National Provider Identifier (NPI) is 1922547264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shining Smiles 4, Inc?
- Shining Smiles 4, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shining Smiles 4, Inc located?
- Shining Smiles 4, Inc's practice location on file with NPPES is 110 N Larkin Ave, Joliet, IL 60435-6603.
- What is Shining Smiles 4, Inc's phone number?
- The practice phone number listed in the NPPES registry for Shining Smiles 4, Inc is (630) 972-4010.
- Who is the authorized official for Shining Smiles 4, Inc?
- The authorized official listed on Shining Smiles 4, Inc's NPPES record is Milad Nourahmadi, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shining Smiles 4, Inc's NPI active?
- Yes — Shining Smiles 4, Inc's NPI (1922547264) is active in the NPPES registry as of the last update on 2017-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.