Full Smile Chicago, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FULL SMILE CHICAGO, PLLC

Practice address

7441 Southwest Hwy
Worth, IL 60482-1005

Phone

(708) 448-0468

NPI assigned

Jan 15, 2025

Last updated

Jan 15, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Williams

Title

Credentialing

Phone

(806) 353-1055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdul Ahed, DDS

  • General Practice Dentistry
  • Worth, IL
  • NPI 1457473373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1063223592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 SOUTHWEST HWY",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821005",
            "telephone_number": "708-448-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 SOUTHWEST HWY",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821005",
            "telephone_number": "708-448-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SMILE CHICAGO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "806-353-1055"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amalia Hoskins, PBT

• Oral and Maxillofacial Surgery (Dentist) in Worth, IL
• Providers in Worth, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.