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Active NPI 1336718659 Individual Practitioner Male Practitioner

Dr. Omar Moukaddem , DMD

Dentist • Addison, IL

Professional Overview & Biography Verified Profile Summary

Dr. Omar Moukaddem, DMD is a registered healthcare professional specializing in Dentist in Addison, IL. Practice services are available at 200 W LAKE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 W Lake St

Addison, IL 601012513

Telephone 6306283115
Associated Practice Facility / Clinic
🏢 Familia Dental 2 Llc Facility NPI 1609159748

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Addison, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Addison, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033148

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1093124190

Doctor of Dental Surgery

Hani Zeno

Dentist

NPI 1174262174
NPI 1619548666
Dr. Naoshi Hosomura , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1861705428

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2021

Registered at 200 W LAKE ST, ADDISON, IL 601012513 (Tel: 6306283115)

📍
Updated Business Mailing Address June 21, 2021

Registered at 200 W LAKE ST, ADDISON, IL 601012513 (Tel: 6306283115)

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as OMAR MOUKADDEM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Dentist (License #019.033148 in IL)

🟢
Initial NPI Registration & Enumeration June 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336718659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: June 21, 2021
Sole Proprietor: No

Mailing Address

200 W Lake St

Addison, IL 601012513

Phone: 6306283115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.