# SMILE EXPERTS DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164848750
- **Authorized official:** DR. SHEETAL SHARMA D.D.S. (DOCTOR)
- **Authorized official phone:** (630) 901-7784

## Contact information

- **Practice address:** 1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
- **Practice address phone:** (217) 245-1190
- **Practice address fax:** (217) 291-0401
- **Mailing address:** 1515 W WALNUT ST, JACKSONVILLE, IL 62650-1150
- **Mailing address phone:** (217) 245-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 019028573 | IL | Yes |

## Other

- **Enumeration date:** 03/06/2014
- **Last updated:** 03/06/2014