OrganizationActive
Independence Family Dental
NPI 1164406138 · Dentist · Chicago, IL
Independence Family Dental is a Dentist organization in Chicago, IL (NPI 1164406138).
Provider details
- NPI number
- 1164406138
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Emad Azab, Dentist(773) 205-9900
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4703 W Lawrence Ave
Chicago, IL 60630-1722
Phone: (773) 205-9900
Fax: (773) 205-9970
Street-level locationGet directions
Mailing address
4703 W Lawrence Ave
Chicago, IL 60630-1722
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Independence Family Dental's NPI number?
- Independence Family Dental's National Provider Identifier (NPI) is 1164406138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Family Dental?
- Independence Family Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Independence Family Dental located?
- Independence Family Dental's practice location on file with NPPES is 4703 W Lawrence Ave, Chicago, IL 60630-1722.
- What is Independence Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Independence Family Dental is (773) 205-9900.
- Who is the authorized official for Independence Family Dental?
- The authorized official listed on Independence Family Dental's NPPES record is Emad Azab, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Family Dental's NPI active?
- Yes — Independence Family Dental's NPI (1164406138) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.