Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THAT CERTAIN SMILE
Active
Organization
THAT CERTAIN SMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA MICHELL HARRIS DDS (OWNER)
(708) 218-3296
Entity
Organization
Contact information
Practice address
4511 S LAKE PARK AVE 1N, CHICAGO, IL 60653-1461
(708) 218-3296
(708) 575-0401
Mailing address
4511 S LAKE PARK AVE 1N, CHICAGO, IL 60653-1461
(708) 218-3296
(708) 575-0401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
12/26/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up