Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083013171 Individual Practitioner Male Practitioner

Dr. Mahmoud Jallad , DDS, MSD

Dentist • Herrin, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mahmoud Jallad, DDS, MSD is a registered healthcare professional specializing in Dentist in Herrin, IL. Practice services are available at 3024 S PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3024 S Park Ave

Herrin, IL 629483721

Telephone 8333379563
Associated Practice Facility / Clinic
🏢 Herrin Dental Llc Facility NPI 1275260218

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Herrin, IL

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

Practicing in Herrin, 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: 2022-09-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.029749

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

1 Associated Practitioners
Dr. Syed Mubeen Alnoor , DMD

Dentist - General Practice

NPI 1265368732

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 05, 2022

Registered at 3024 S PARK AVE, HERRIN, IL 629483721 (Tel: 8333379563)

📍
Updated Business Mailing Address September 05, 2022

Registered at 3205 ARABIAN CT, HERRIN, IL 629483788 (Tel: 3343547852)

NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2016

Registered at 4241 HWY 14 W, CHRISTOPHER, IL 628221037 (Tel: 6187242401)

📍
Updated Business Mailing Address October 11, 2016

Registered at 4241 HWY 14 W, CHRISTOPHER, IL 628221037 (Tel: 6187242401)

👤
Provider Name / Credentials Updated October 11, 2016

Recorded as MAHMOUD JALLAD, DDS, MSD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Dentist (License #019.029749 in IL)

🟢
Initial NPI Registration & Enumeration August 14, 2014

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: 1083013171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2014
Last Update: September 05, 2022
Sole Proprietor: Yes

Mailing Address

3205 Arabian Ct

Herrin, IL 629483788

Phone: 3343547852

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.