MEDICARE: ADVANCED DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	019028416	IL

General Provider Information

NPI Number	:	1437406311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED DENTAL

Provider Business Mailing Address
First Line	:	2335 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-3225
Country	:	US
Telephone Number	:	773-249-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2335 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-3225
Country	:	US
Telephone Number	:	773-249-4700
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	NILOFER KHAN
Credential	:	DDS
Telephone Number	:	847-814-6456

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	03/27/2018

Similar Medicare Providers

1629748181 — GOLD COAST ANESTHESIA PLLC
Practice Location Address:

2335 W FULLERTON AVE
CHICAGO, IL
60647-3225

Practice Phone: 347-927-4037
Practice Fax: 248-621-5219

1306025853 — MS. ESTHER AYZENBERG CCC-SLP
Practice Location Address:

3225 W FULLERTON AVE , APT 2SE
CHICAGO, IL
60647-7037

Practice Phone: 847-975-8555
Practice Fax: 888-971-7142

1740593078 — NILOFER KHAN DDS
Practice Location Address:

2335 W FULLERTON AVE
CHICAGO, IL
60647-3225

Practice Phone: 773-249-2700
Practice Fax:

1538430590 — DR. WAEIL ELMISALATI DDS, MMEDSC
Practice Location Address:

2335 W FULLERTON AVE
CHICAGO, IL
60647-3225

Practice Phone: 617-953-0266
Practice Fax:

1619593464 — WASIYA FAROOQUI
Practice Location Address:

2335 W FULLERTON AVE STE B
CHICAGO, IL
60647-3225

Practice Phone: 815-603-5852
Practice Fax:

1821853862 — MERISSA MICHELLE MCAFEE
Practice Location Address:

2335 W FULLERTON AVE STE B
CHICAGO, IL
60647-3225

Practice Phone: 312-300-3882
Practice Fax:

Directions to “ADVANCED DENTAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.