IndividualActive
Fahad Al Mufti
NPI 1205365129 · General Practice Dentistry · Chicago, IL
Provider details
- NPI number
- 1205365129
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 019031121 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
901 S Ashland Ave Apt 203
Chicago, IL 60607-4082
Phone: (619) 201-7326
Street-level locationGet directions
Mailing address
901 S Ashland Ave Apt 203
Chicago, IL 60607-4082
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.