Fullsmile Family Dentist
Fullsmile Family Dentist provides General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
3939 W Fullerton AveChicago, IL 60647-2243 Not confirmed with CMS for 18 years — call before visiting
Phone: (773) 235-0000
Fax: (773) 235-0001
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019024678 (IL) |
|---|
Record details
| NPI number | 1316110547 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edison Ishaya — Dentist · (773) 235-0000 |
| NPI enumerated | April 9, 2008 |
| Last updated in NPPES | May 2, 2008 |
| Mailing address | 3939 W Fullerton Ave, Chicago, IL 60647-2243 |
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