Ismile Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

192.027782 Issued in IL

Legal business name

ISMILE DENTAL LLC

Practice address

4953 W Fullerton Ave
Chicago, IL 60639-2505

Phone

(773) 887-3244

Fax

(773) 887-3246

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Haytham Safi, DDS

Title

Sole Member

Phone

(773) 655-7455

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1609210368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392505",
            "telephone_number": "773-887-3244",
            "fax_number": "773-887-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392505",
            "telephone_number": "773-887-3244",
            "fax_number": "773-887-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SAFI",
        "authorized_official_first_name": "HAYTHAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "773-655-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "192.027782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Musediq Ismail, APRN
• Nadia Ismail
• Nessrin Ismail, MHP
• Ismile Chicago PLLC
• Ismile Dental
• Atinuke C Isola, CLC
• Israel J Warens DDS PC
• Amanda Israel, MD
• Marni Israel
• Samantha Carrie Israel, A.P.N

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.