Jumana Quafisheh, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.036264 Issued in IL

Practice address

515 US Highway 6
Minooka, IL 60447-8814

Phone

(815) 620-0889

NPI assigned

Jul 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of Illinois, P.C.

  • General Practice Dentistry
  • Minooka, IL
  • NPI 1821731464
  NPD

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1801779442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 US HIGHWAY 6",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 US HIGHWAY 6",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478814",
            "telephone_number": "815-620-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAFISHEH",
        "first_name": "JUMANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pocket Full of Wiggles PLLC
• Melissa E Porfirio
• Jennifer Praveen
• Pro-Motion Physical Therapy LLC
• Progressive Clinical Therapies LTD
• Misty Dawn Resco, RBT
• Ridge Chiropractic Center, LTD.
• Ridge Dental Group, LTD
• Aaron Anthony Riley
• Rivier Counseling Group, LLC

• General Practice Dentistry in Minooka, IL
• Providers in Minooka, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.