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FULLERTON FAMILY DENTISTRY, LTD
NPI 1649480138
Dentist in Chicago, IL

Active since May 23, 2007
4725 W FULLERTON AVE, CHICAGO, IL 60639(773) 252-5757 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fullerton Family Dentistry, Ltd NPPES

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

FULLERTON FAMILY DENTISTRY, LTD (NPI 1649480138) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Joseph J Fornal, Sectretary, as its authorized official.

NPPES Registry Identity

NPI1649480138
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFULLERTON FAMILY DENTISTRY, LTD
Location Address4725 W FULLERTON AVEChicago, IL 60639-1817
Mailing Address4725 W Fullerton AveChicago, IL 60639-1817 · (773) 252-5757
Phone(773) 252-5757
Organization SubpartNo
Authorized OfficialJoseph J FornalSectretary · (773) 252-5757
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649480138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4725 W FULLERTON AVE, Chicago, IL 60639
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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 MULTIPLE SINGLE SPECIALTY GROUP

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.

SHADDAI DENTAL CARE
Clinic/Center (Dental)
4725 W FULLERTON AVE
CHICAGO, IL 60639
Cook County (773) 987-2345
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
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 Fullerton Family Dentistry, Ltd's NPI number?

The NPI number for Fullerton Family Dentistry, Ltd is 1649480138. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Fullerton Family Dentistry, Ltd located?

Fullerton Family Dentistry, Ltd is located at 4725 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 252-5757.

What is Fullerton Family Dentistry, Ltd's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fullerton Family Dentistry, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.