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Active NPI 1124313838 Individual Practitioner Male Practitioner

Dr. Iyad Samir Awadallah , DMD

Dentist - General Practice • Joliet, IL

Professional Overview & Biography Verified Profile Summary

Dr. Iyad Awadallah, DMD is a registered healthcare professional specializing in Dentist - General Practice in Joliet, IL. Practice services are available at 219 N HAMMES AVE STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

219 N Hammes Ave Ste 3

Joliet, IL 604358145

Telephone 8157257900
Associated Practice Facility / Clinic
🏢 Iyad Awadallah Dmd Pc Facility NPI 1669127247

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Joliet, IL (5581 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: 2022-02-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.028905

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IN 12012053A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

1431 S Woodland Ave

Michigan City, IN 463607122

Phone: 2195319293

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Paul Vercellotti , DDS

Dentist - General Practice

NPI 1306949227

Doctor of Dental Surgery

Dr. Michael Lee , DDS

Dentist - General Practice

NPI 1366554669

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 13, 2022

Registered at 219 N HAMMES AVE STE 3, JOLIET, IL 604358145 (Tel: 8157257900)

📍
Updated Practice Location December 04, 2020

Registered at 1431 S WOODLAND AVE, MICHIGAN CITY, IN 463607122 (Tel: 2195319293)

📍
Updated Business Mailing Address December 04, 2020

Registered at 8697 SCHEER DR, TINLEY PARK, IL 604878660 (Tel: 6055530079)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2020

Dentist (License #12012053A in IN)

NPI Profile Active June 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2011

Registered at 580 HANCOCK ST, QUINCY, MA 021701909 (Tel: 6173285060)

📍
Updated Business Mailing Address June 10, 2011

Registered at 580 HANCOCK ST, QUINCY, MA 021701909 (Tel: 6173285060)

👤
Provider Name / Credentials Updated June 10, 2011

Recorded as IYAD AWADALLAH, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2011

Dentist (License #DN1855673 in MA)

🟢
Initial NPI Registration & Enumeration June 10, 2011

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: 1124313838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2011
Last Update: February 13, 2022
Sole Proprietor: No

Mailing Address

8697 Scheer Dr

Tinley Park, IL 604878660

Phone: 6055530079

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.