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SHADDAI DENTAL CARE
NPI 1093487662
Clinic/Center - Dental in Chicago, IL

Active since October 01, 2021
4725 W FULLERTON AVE, CHICAGO, IL 60639(773) 987-2345 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaddai Dental Care NPPES

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

SHADDAI DENTAL CARE (NPI 1093487662) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since October 2021. The organization lists Thu Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1093487662
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHADDAI DENTAL CARE
Location Address4725 W FULLERTON AVEChicago, IL 60639-1817
Mailing Address5324 N Elston AveChicago, IL 60630-1611 · (773) 837-6176
Phone(773) 987-2345
Organization SubpartNo
Authorized OfficialThu NguyenPresident · (773) 837-6176
Enumeration DateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
✔ NPI 1093487662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4725 W FULLERTON AVE, Chicago, IL 60639
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. PHILIP MARK MUSSARI D.D.S.
Dentist
4725 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 252-4240
ABBA DENTAL CARE
Clinic/Center (Dental)
4725 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 987-2345
FULLERTON FAMILY DENTISTRY, LTD
Dentist
4725 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 252-5757
DM FAMILLY DENTISTRY
Clinic/Center (Dental)
4725 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 252-5757

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 Shaddai Dental Care's NPI number?

The NPI number for Shaddai Dental Care is 1093487662. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Shaddai Dental Care located?

Shaddai Dental Care is located at 4725 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 987-2345.

What is Shaddai Dental Care's specialty?

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

What insurance does Shaddai Dental Care accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Shaddai Dental Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaddai Dental Care was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.