Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124860473 Individual Practitioner Male Practitioner

Dr. Mansour Musa Mohammed , DDS

Dentist - General Practice • Lockport, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mansour Mohammed, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lockport, IL. Practice services are available at 16473 W 159TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16473 W 159th St

Lockport, IL 604417961

Telephone 8152214200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lockport, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Lockport, 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: 2024-06-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.035196

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Ali Amra

Dentist

NPI 1578139598

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 08, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2024

Registered at 16473 W 159TH ST, LOCKPORT, IL 604417961 (Tel: 8152214200)

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Updated Business Mailing Address June 08, 2024

Registered at 14512 ALBANY AVE, LEMONT, IL 604394000 (Tel: 7083697458)

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Provider Name / Credentials Updated June 08, 2024

Recorded as MANSOUR MOHAMMED, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2024

Dentist (License #019.035196 in IL)

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Initial NPI Registration & Enumeration June 08, 2024

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: 1124860473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2024
Last Update: June 08, 2024
Sole Proprietor: Yes

Mailing Address

14512 Albany Ave

Lemont, IL 604394000

Phone: 7083697458

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.