Illini Smiles Dental Care PC
NPI 1891245957ActiveOrganization· Dentist, General Practice· Champaign, IL
Dentist, General Practice in Champaign, Illinois, registered in NPPES in October 2016, part of Illini Smiles Dental Care PC. The authorized official on file is Yudong Xu, Onwer.
Overview
| NPI | 1891245957 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Illini Smiles Dental Care PC |
| NPI issued | Oct 12, 2016 |
| Last updated in NPPES | Oct 12, 2016 |
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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