OrganizationActive
Full Smile Chicago, PLLC
NPI 1063223592 · Oral and Maxillofacial Surgery (Dentist) · Worth, IL
Provider details
- NPI number
- 1063223592
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Williams, Credentialing(806) 353-1055
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7441 Southwest Hwy
Worth, IL 60482-1005
Phone: (708) 448-0468
Street-level locationGet directions
Mailing address
7441 Southwest Hwy
Worth, IL 60482-1005
Registry dates
- Enumerated
- 2025-01-15
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.