ISMILE DENTAL
NPI 1013464593
Dentist - General Practice in Chicago, IL

Active since September 01, 2016
4953 WEST FULLERTON AVE, CHICAGO, IL 60639(773) 887-3244(773) 897-6697 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ismile Dental NPPES

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

ISMILE DENTAL (NPI 1013464593) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since September 2016. The organization lists Yesenia Delgado, General Manager, as its authorized official.

NPPES Registry Identity

NPI1013464593
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameISMILE DENTAL
Location Address4953 WEST FULLERTON AVEChicago, IL 60639
Mailing Address4953 W Fullerton AveChicago, IL 60639-2505 · (773) 655-7455 · Fax (773) 897-6697
Fax(773) 897-6697
Organization SubpartNo
Authorized OfficialYesenia DelgadoGeneral Manager · (773) 887-3244
Enumeration DateSeptember 1, 2016
NPI 1013464593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-027782
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.
4953 WEST FULLERTON AVE, Chicago, IL 60639

Other Identifiers 2

Medicaid=========9IL
Medicaid1437149622IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ismile Dental's NPI number?

The NPI number for Ismile Dental is 1013464593. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Ismile Dental located?

Ismile Dental is located at 4953 West Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 887-3244.

What is Ismile Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ismile Dental was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.