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FULL DENTAL PLLC
NPI 1144028531
Dentist - General Practice in Crystal Lake, IL

Active since March 03, 2025
615 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012(815) 477-4055 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Full Dental Pllc NPPES

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

FULL DENTAL PLLC (NPI 1144028531) is a healthcare organization registered as a general practice in Crystal Lake, Illinois and active in the NPI registry since March 2025. The organization lists Brandon Full, Manager, as its authorized official.

NPPES Registry Identity

NPI1144028531
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFULL DENTAL PLLC
Location Address615 DAKOTA ST STE ACrystal Lake, IL 60012-3732
Mailing Address615 Dakota St Ste ACrystal Lake, IL 60012-3732
Phone(815) 477-4055
Organization SubpartNo
Authorized OfficialBrandon FullManager · (815) 477-4055
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1144028531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
615 DAKOTA ST STE A, Crystal Lake, IL 60012
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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

Other Providers at the Same Location NPPES

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

DR. RACHEL EHLERS DDS
Dentist
615 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
McHenry County (815) 477-4055

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 Full Dental PLLC's NPI number?

The NPI number for Full Dental PLLC is 1144028531. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Full Dental PLLC located?

Full Dental PLLC is located at 615 Dakota St Ste A, Crystal Lake, IL 60012. The listed phone number is (815) 477-4055.

What is Full Dental PLLC'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 Full Dental PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.