ISMILE DENTAL (NPI# 1013464593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-027782 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1437149622 | 05 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ISMILE DENTAL | 6139 Sw Murray Blvd, Beaverton, OR 97008 |
| New York State Corporations | ISMILE DENTAL ARTS, PLLC | 35 West 31st Street, 2nd Floor, New York, Ny 10001 |
| North Carolina Corporations | Ismile Dental Products Inc. | 4030 Wake Forest Road Ste 349, Raleigh, NC 27609 |
| Street Address |
4953 WEST FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639 |
| 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 Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 | ||||
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| 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.