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FULLSMILE FAMILY DENTIST
NPI 1316110547
Dentist - General Practice in Chicago, IL

Active since April 09, 2008
3939 W FULLERTON AVE, CHICAGO, IL 60647(773) 235-0000(773) 235-0001 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fullsmile Family Dentist NPPES

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

FULLSMILE FAMILY DENTIST (NPI 1316110547) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2008. The organization lists Edison Albert Ishaya, Dentist, as its authorized official.

NPPES Registry Identity

NPI1316110547
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFULLSMILE FAMILY DENTIST
Location Address3939 W FULLERTON AVEChicago, IL 60647-2243
Mailing Address3939 W Fullerton AveChicago, IL 60647-2243 · (773) 235-0000 · Fax (773) 235-0001
Phone(773) 235-0000
Fax(773) 235-0001
Organization SubpartNo
Authorized OfficialEdison Albert IshayaDentist · (773) 235-0000
Enumeration DateApril 9, 2008
Last NPPES UpdateMay 2, 2008
✔ NPI 1316110547 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 · 019024678
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.
3939 W FULLERTON AVE, Chicago, IL 60647
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 13

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

DENTAL SURGERY SERVICES, P.C.
Dentist
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000
BLANCA MURILLO DDS
Dentist
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000
VI QUAN QUAN D.M.D.
Dentist
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000
LINORA NISSAN DMD
Dentist
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000
DR. ORLEANYS DEL CARMEN D.D.S.
Dentist
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 325-0000
JENIN DENTAL CORP.
Clinic/Center (Dental)
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000
SMILE HAVEN PLLC
Dentist (General Practice)
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000
GEORGE DAMERJI DDS PC
Dentist
3939 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 235-0000

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 Fullsmile Family Dentist's NPI number?

The NPI number for Fullsmile Family Dentist is 1316110547. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Fullsmile Family Dentist located?

Fullsmile Family Dentist is located at 3939 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 235-0000.

What is Fullsmile Family Dentist's specialty?

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

What insurance does Fullsmile Family Dentist accept?

Health plans from UnitedHealthcare list Fullsmile Family Dentist 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 Fullsmile Family Dentist was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.