Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dental Shine II, P, C.

Organization Dental Clinic/Center · NPI 1790923274

Dental Shine II, P, C. is a Dental Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009

Practice location Address checks out

4719 S Kedzie Ave
Chicago, IL 60632-3001
Phone: (773) 847-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019026154 (IL)

Record details

NPI number1790923274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Firas El-Muqdad — President · (773) 847-4444
NPI enumeratedJanuary 22, 2009
Last updated in NPPESJanuary 22, 2009
Mailing address4719 S Kedzie Ave, Chicago, IL 60632-3001

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