Organization
IMPROVING SMILES LTD
Active
Other names
Champaign Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD A. JOHNSON D.M.D. (PRESIDENT/DENTIST)
(217) 351-2667
Entity
Organization
Contact information
Practice address
2102 N MARKET ST, CHAMPAIGN, IL 61822-1306
(217) 351-2667
(217) 351-2668
Mailing address
2102 N MARKET ST, CHAMPAIGN, IL 61822-1306
(217) 351-2667
(217) 351-2668
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
019025511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167289
—
IL
Enumeration date
08/18/2008
Last updated
08/18/2008
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