ISMILE DENTAL


Address: 4953 West Fullerton Ave, Chicago, IL 60639
Phone: 7738873244

ISMILE DENTAL (NPI# 1013464593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013464593
Entity Type Organization
Organization Name ISMILE DENTAL
Practice Address 4953 West Fullerton Ave
Chicago
IL 60639
Mailing Address 4953 W Fullerton Ave
Chicago
IL 60639-2505
Practice Telephone 7738873244
Practice Fax Number 7738976697
Mailing Telephone 7736557455
Mailing Fax Number 7738976697
Enumeration Date 2016-09-01
Last Update Date 2016-09-01
Authorized Official Name YESENIA DELGADO (GENERAL MANAGER)
Authorized Official Telephone 7738873244
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019-027782 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 1437149622 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215209572 Ismile Dental Dentist 1702 Miramonte Ave., Suite B, Mountain View, CA 94040 2012-02-02
1609096064 Ismile Dental Dentist 5824 South Hulen St., Fort Worth, TX 76132 2007-04-26

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names ISMILE DENTAL 6139 Sw Murray Blvd, Beaverton, OR 97008
North Carolina Corporations Ismile Dental Products Inc. 4030 Wake Forest Road Ste 349, Raleigh, NC 27609

Office Location

Street Address 4953 WEST FULLERTON AVE
City CHICAGO
State IL
Zip Code 60639

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293801 Wh Il Dental Pllc Dentist 18086 N. Kilpatrick Ave., Chicago, IL 60639 2020-10-21
1568012375 Ellen E Cox Physical Therapist 4369 W Diversey Ave, Chicago, IL 60639 2019-09-13
1306379268 Michael Duarte Family Medicine 4417 W Diversey Ave, Chicago, IL 60639 2017-04-07
1952773566 Flor Cortes Pharmacist 4626 W Diversey, Chicago, IL 60639 2015-10-22
1205178654 The Head Injury Center for Prevention and Community Case Management 1732 N. Narragansett Ave, Chicago, IL 60639 2013-03-25
1013299262 Aamer Arboleda Pharmacist 1606 N. Mobile Ave., Chicago, IL 60639 2011-09-14
1295037927 Mary Veronica Galiotto Pharmacist 2920 N Narragansett, Chicago, IL 60639 2010-12-01
1295067478 Galileo Optical Co. Eyewear Supplier (Equipment, not the service) 5759 W. Fullerton, Chicago, IL 60639 2010-02-12
1831424548 Sonrisa Family Dental At The Hall, P.C. Dentist 4608 A & B West Diversey Avenue, Chicago, IL 60639 2009-10-14
1487803938 Cortland Manor LLC Assisted Living Facility 1900 N. Karlov Ave., Chicago, IL 60639 2008-09-09
Find all providers in zip 60639

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1679181895 Robert J Chacon Dentist 15 S Throop St Apt 206, Chicago, IL 60607-2522 2020-07-14
1629693304 Priyanka Sikka Dentist 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 2020-06-09
1164045456 Yong Chang Dds PC. Dentist 3531 N Western Ave Unit B, Chicago, IL 60618-6025 2020-05-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1831749944 Kenwood Dental Group Dentist 1335 E 87th St Ste A, Chicago, IL 60619-7036 2019-09-19
1508412875 Kamal Paresh Patel Dentist 1040 W Randolph St, Chicago, IL 60607-2215 2019-08-13
1003469636 Ahmed Mansour Dentist 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 2019-07-23
1568024925 John Michael Burnheimer II Dentist 11 S Green St Unit 1106, Chicago, IL 60607-1031 2019-07-05
1497317515 Prasanth Dommaraju Dentist 3924 S Archer Ave, Chicago, IL 60632-1116 2019-06-29
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60639

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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