OrganizationActive
Shaddai Dental Care
NPI 1093487662 · Dental Clinic/Center · Chicago, IL
Shaddai Dental Care is a Dental Clinic/Center organization in Chicago, IL (NPI 1093487662).
Provider details
- NPI number
- 1093487662
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thu Nguyen, President(773) 837-6176
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
4725 W Fullerton Ave
Chicago, IL 60639-1817
Phone: (773) 987-2345
Street-level locationGet directions
Mailing address
5324 N Elston Ave
Chicago, IL 60630-1611
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Frequently asked questions
- What is Shaddai Dental Care's NPI number?
- Shaddai Dental Care's National Provider Identifier (NPI) is 1093487662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shaddai Dental Care?
- Shaddai Dental Care is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shaddai Dental Care located?
- Shaddai Dental Care's practice location on file with NPPES is 4725 W Fullerton Ave, Chicago, IL 60639-1817.
- What is Shaddai Dental Care's phone number?
- The practice phone number listed in the NPPES registry for Shaddai Dental Care is (773) 987-2345.
- Who is the authorized official for Shaddai Dental Care?
- The authorized official listed on Shaddai Dental Care's NPPES record is Thu Nguyen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shaddai Dental Care's NPI active?
- Yes — Shaddai Dental Care's NPI (1093487662) is active in the NPPES registry as of the last update on 2021-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.