Illini Smiles Dental Care PC
NPI 1205245693ActiveOrganization· Dentist, General Practice· Champaign, IL
Dentist, General Practice in Champaign, Illinois, registered in NPPES in August 2014. The authorized official on file is Yudong Xu, DMD, President.
Overview
| NPI | 1205245693 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2014 |
| Last updated in NPPES | Jul 27, 2020 |
| Certified by provider | Jul 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019026810 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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