DENTAL SHINE III P C – NPI #1902131444
Clinic/Center

DENTAL SHINE III P C is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1902131444 to DENTAL SHINE III P C on October 15, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENTAL SHINE III P C below.

NPI Profile for
DENTAL SHINE III P C

NPI Number
1902131444
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DENTAL SHINE III P C
Primary location
2902 W 63RD ST.
CHICAGO, IL 60629
Phone: (773) 776-6666 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FIRAS EL-MUQDAD
PRESIDENT
Phone: (773) 776-6666
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 IL 019026154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.