Joyful Smiles Pediatric Dentistry of Bradley

NPI #1417637158 in Bradley, Illinois

Provider Information

NPI Number: 1417637158
Entity Type: Organization
Organization Name: Joyful Smiles Pediatric Dentistry of Bradley
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 840 N KINZIE AVE
City: Bradley
State: Illinois
ZIP Code: 60915-1231
Phone: (815) 935-5560

Authorized Official

Name: YAA NOEL MCDONALD, DMD
Title: PRESIDENT/PEDIATRIC DENTIST
Phone: (773) 290-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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