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

Fullerton Family Dentistry, Ltd

Organization Dentist · NPI 1649480138

Fullerton Family Dentistry, Ltd is a Dentist in Chicago, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4725 W Fullerton Ave
Chicago, IL 60639-1817
Phone: (773) 252-5757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1649480138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Fornal — Sectretary · (773) 252-5757
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4725 W Fullerton Ave, Chicago, IL 60639-1817

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