OrganizationActive
Fullsmile Family Dentist
NPI 1316110547 · General Practice Dentistry · Chicago, IL
Provider details
- NPI number
- 1316110547
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edison Ishaya, Dentist(773) 235-0000
- License
- 019024678 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3939 W Fullerton Ave
Chicago, IL 60647-2243
Phone: (773) 235-0000
Fax: (773) 235-0001
Street-level locationGet directions
Mailing address
3939 W Fullerton Ave
Chicago, IL 60647-2243
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2008-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.