Dental Shine, LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL SHINE, LTD

Practice address

2319 S Cicero Ave
Cicero, IL 60804-2451

Phone

(708) 222-8995

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Firas F El-Muqdad

Title

President

Phone

(708) 222-8995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1063685196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 S CICERO AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042451",
            "telephone_number": "708-222-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SHINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "EL-MUQDAD",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-222-8995",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Cuatlatl
• Kayla Dehart
• Magaly Del Valle, MA
• Araceli Delgado
• Marisela Delgado
• Erin E Derks, PHARMD
• Ishver H Desai, M.D.
• Manish I Desai, D.O.
• Bharati Dev
• Kazandra Diaz

• Dental Clinic/Center in Cicero, IL
• Providers in Cicero, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.