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Fullsmile Family Dentist

Q: What type of organization is Fullsmile Family Dentist?

Fullsmile Family Dentist is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

General Practice Dentistry in Chicago, IL · enumerated 2008 · authorized official Edison Ishaya, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316110547

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Fullsmile Family Dentist

Practice address 3939 W Fullerton Ave, Chicago, IL, 60647

Phone (773) 235-0000

Fax (773) 235-0001

Enumeration date Apr 9, 2008

Last updated in NPPES May 2, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 019024678 (IL) Primary

Authorized official

Name Edison Ishaya

Title Dentist

Phone (773) 235-0000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Fullsmile Family Dentist?

Fullsmile Family Dentist is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-02.