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DENTAL SHINE III P C
NPI 1902131444
Clinic/Center - Dental in Chicago, IL

Active since October 15, 2009
2902 W 63RD ST., CHICAGO, IL 60629(773) 776-6666 Get Directions Write a Review

NPPES record last updated: October 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Shine Iii P C NPPES

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

DENTAL SHINE III P C (NPI 1902131444) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since October 2009. The organization lists Firas El-muqdad, President, as its authorized official.

NPPES Registry Identity

NPI1902131444
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTAL SHINE III P C
Location Address2902 W 63RD ST.Chicago, IL 60629
Mailing Address2902 W 63rd St.Chicago, IL 60629
Phone(773) 776-6666
Organization SubpartNo
Authorized OfficialFiras El-muqdadPresident · (773) 776-6666
Enumeration DateOctober 15, 2009
✔ NPI 1902131444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019026154
2902 W 63RD ST., Chicago, IL 60629
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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 Dental Shine III P C's NPI number?

The NPI number for Dental Shine III P C is 1902131444. It was assigned to this organization in the NPPES registry on October 15, 2009.

Where is Dental Shine III P C located?

Dental Shine III P C is located at 2902 W 63rd St., Chicago, IL 60629. The listed phone number is (773) 776-6666.

What is Dental Shine III P C's specialty?

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

When was this NPI record last updated?

The NPPES record for Dental Shine III P C was last updated on October 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.