STAR SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY
NPI 1013347160
Clinic/Center - Dental in Chicago, IL

Active since November 26, 2013
3012 W FULLERTON AVE, CHICAGO, IL 60647(773) 384-3500(773) 384-3963 Get Directions Write a Review

NPPES record last updated: November 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Star Smiles Orthodontics And Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY (NPI 1013347160) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since November 2013. The organization lists Andre Jham, Orthodontics, as its authorized official.

NPPES Registry Identity

NPI1013347160
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTAR SMILES ORTHODONTICS AND PEDIATRIC DENTISTRY
Location Address3012 W FULLERTON AVEChicago, IL 60647-2940
Mailing Address3012 W Fullerton AveChicago, IL 60647-2940 · (773) 384-3500 · Fax (773) 384-3963
Fax(773) 384-3963
Organization SubpartNo
Authorized OfficialAndre JhamOrthodontics · (773) 384-3500
Enumeration DateNovember 26, 2013
NPI 1013347160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IL · 019028920
3012 W FULLERTON AVE, Chicago, IL 60647

Other Identifiers 1

Medicaid019028920IL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
3012 W FULLERTON AVE, UNIT 3
CHICAGO, IL 60647
Occupational Therapist
3012 W FULLERTON AVE, #4
CHICAGO, IL 60647
Dentist (Pediatric Dentistry)
3012 W FULLERTON AVE
CHICAGO, IL 60647
Dentist (General Practice)
3012 W FULLERTON AVE
CHICAGO, IL 60647
Dentist
3012 W FULLERTON AVE
CHICAGO, IL 60647
Dentist (General Practice)
3012 W FULLERTON AVE
CHICAGO, IL 60647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Star Smiles Orthodontics And Pediatric Dentistry's NPI number?

The NPI number for Star Smiles Orthodontics And Pediatric Dentistry is 1013347160. It was assigned to this organization in the NPPES registry on November 26, 2013.

Where is Star Smiles Orthodontics And Pediatric Dentistry located?

Star Smiles Orthodontics And Pediatric Dentistry is located at 3012 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 384-3500.

What is Star Smiles Orthodontics And Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Star Smiles Orthodontics And Pediatric Dentistry was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.