Fullerton Dental Island LLC
Dentist, General Practice in Chicago, IL. Organization (NPI-2).
NPI number1265285167
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1265285167
- Entity type
- Organization (NPI-2)
- Legal business name
- Fullerton Dental Island LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2024
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5205 W Fullerton AveChicago, IL 60639-1401
Phone 312-709-1722
Mailing address
5836 W 100th PlOak Lawn, IL 60453-3774
Phone 312-709-1722
Authorized official
Wisam Musa
Owner
3127091722
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Chicago, IL
- 1st American DentalNPI 1356488365
- 1st Brite DentalNPI 1487791422
- 1st Family Dental Of West Roseland PCNPI 1578197026
- 606 Dental P.C.NPI 1477206373
- 7011 W Archer AveNPI 1750686820
- A .I/H.M Busch ,ddsNPI 1114192036
- A K A DentalNPI 1598937377
- A. Besse, DDS, PLLCNPI 1154225985
- Abdullah Abd EssamadNPI 1528848066
- Hazem Abdelaal, DDSNPI 1972282903
All 1,688 General Practice Dentistry providers in Chicago · All 81,422 providers in Chicago
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.