Fantastic Smiles Ltd.
Fantastic Smiles Ltd. is a healthcare organization registered as Dental Clinic/Center in Mt Prospect, IL, holding Type 2 (organization) NPI 1104254630 since 2013. The authorized official on file is Ewa Koser, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104254630 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fantastic Smiles Ltd. |
| Practice address | 250 W KENSINGTON RD, SUITE 2A, Mt Prospect, IL, 60056 |
| Phone | 8475775464 |
| Fax | 8475775474 |
| Enumeration date | 2013-10-18 |
| Last updated in NPPES | 2013-10-18 |
Authorized official
| Name | Ewa Koser |
|---|---|
| Title | President |
| Phone | 8475775464 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 019-024294 | IL |
Copy-ready billing details
Provider: Fantastic Smiles Ltd. NPI: 1104254630 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 250 W KENSINGTON RD, SUITE 2A, Mt Prospect, IL, 60056
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962484923 | Richard Gallup | Individual | Family Medicine Physician | Mount Prospect, IL |
| 1154493187 | Beata Devirion | Individual | General Practice Dentistry | Mt Prospect, IL |
| 1518010669 | Ewa Koser | Individual | General Practice Dentistry | Mount Prospect, IL |
| 1467784629 | Gallup Family Practice,Ltd. | Organization | Family Medicine Physician | Mt Prospect, IL |
| 1043733504 | Morgan Medical Group, LLC | Organization | Family Medicine Physician | Mount Prospect, IL |
Verify this record
Cross-check NPI 1104254630 against the authoritative CMS record: view Fantastic Smiles Ltd. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Fantastic Smiles Ltd.?
Who is the authorized official for Fantastic Smiles Ltd.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-10-18.