OrganizationActive
Perfect Dental Smile, Ltd.
NPI 1104077692 · Dentist · Chicago, IL
Provider details
- NPI number
- 1104077692
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Perfect Dental Smile, Lts.
- Organization subpart
- Yes
- Authorized official
- Bushra Al Azzawi, Dentist(773) 561-2808
- License
- 019024872 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2545 W Peterson Ave
Suite 201
Chicago, IL 60659-4091
Phone: (773) 561-2808
Fax: (773) 561-2809
Street-level locationGet directions
Mailing address
2545 W Peterson Ave
Chicago, IL 60659-4091
Registry dates
- Enumerated
- 2008-10-02
- Last updated
- 2009-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.