DENTAL SHINE LTD NPI 1063685196

NPI Information

  • NPI: 1063685196
  • Provider Name: DENTAL SHINE, LTD
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2319 S CICERO AVE
    CICERO, IL
    ZIP 60804
  • Phone: (708) 222-8995

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NPI Details

DENTAL SHINE, LTD is a dental clinic center in Cicero, IL. DENTAL SHINE, LTD NPI is 1063685196. The provider is registered as an organization entity type.

The provider's business location address is:

2319 S CICERO AVE
CICERO, IL
ZIP 60804-451
Phone: (708) 222-8995

The provider's authorized official is Firas F El-muqdad .
The authorized official title is President and has the following contact phone number (708) 222-8995.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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