Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366823262 Individual Practitioner Male Practitioner

Dr. Thaer Al Azzawi , DMD

Dentist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Thaer Al Azzawi, DMD is a registered healthcare professional specializing in Dentist in Chicago, IL. Practice services are available at 811 W WELLINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

811 W Wellington Ave

Chicago, IL 606575123

Telephone 7738711461
Fax 7738716353
Associated Practice Facility / Clinic
🏢 Reem Sabbagh Dds Llc Facility NPI 1902018948

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1207 Specialists

Practicing in Chicago, IL (4751 Statewide)

Telehealth Adoption Rate
0.1% 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: 2023-08-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033851

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 31017

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.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License IL 019.033851

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Hibah Khan

Dentist - General Practice

NPI 1003510256
Nia Marshall

Dentist - General Practice

NPI 1003668252
Semaj Shelton

Student in an Organized Health Care Education/Training Program

NPI 1013857523
Dr. Caroline Green , DMD

Dentist - General Practice

NPI 1033813373

Doctor of Dental Medicine

NPI 1053606475

Doctor of Dental Surgery

Dr. Ayanna Williams , DDS

Dentist - Pediatric Dentistry

NPI 1093207219

Doctor of Dental Surgery

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 21, 2023

Registered at 811 W WELLINGTON AVE, CHICAGO, IL 606575123 (Tel: 7738711461)

📍
Updated Practice Location June 21, 2018

Registered at 9150 BEECHNUT ST STE A, HOUSTON, TX 77036 (Tel: 8328311361)

📍
Updated Business Mailing Address June 21, 2018

Registered at 9150 BEECHNUT ST STE A, HOUSTON, TX 77036

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2017

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349365950)

📍
Updated Business Mailing Address June 19, 2017

Registered at 1500 E MEDICAL CENTER DRIVE, G1218 TOWSLEY CTR, ANN ARBOR, MI 481095222 (Tel: (734) 232-6048)

👤
Provider Name / Credentials Updated June 19, 2017

Recorded as THAER AL AZZAWI, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Dentist (License #31017 in TX)

NPI Profile Active June 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2015

Registered at 9824 FONDREN RD, HOUSTON, TX 770963648 (Tel: 7132713000)

📍
Updated Business Mailing Address June 16, 2015

Registered at 3411 CUMMINS ST, APT 56, HOUSTON, TX 770275800 (Tel: 7133828654)

👤
Provider Name / Credentials Updated June 16, 2015

Recorded as THAER AL AZZAWI, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2015

Dentist (License #31017 in TX)

🟢
Initial NPI Registration & Enumeration June 16, 2015

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: 1366823262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2015
Last Update: August 26, 2023
Sole Proprietor: Yes

Mailing Address

9150 Beechnut St Ste A

Houston, TX 77036

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.