Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043669419 Individual Practitioner Male Practitioner

Dr. Mustafa Obaidi , DMD

Dentist • Mchenry, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mustafa Obaidi, DMD is a registered healthcare professional specializing in Dentist in Mchenry, IL. Practice services are available at 3420 W ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3420 W Elm St

Mchenry, IL 600504433

Telephone 8153440453
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mchenry, IL

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

Practicing in Mchenry, 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: 2021-05-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019030653

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 MI 2901021942

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.

Secondary Practice Locations

117 W Paterson St

Kalamazoo, MI 490072557

Phone: 2693492641

7710 W North Ave

Elmwood Park, IL 607074123

Phone: 7084536677

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Douglas Colthurst , DDS

Dentist - General Practice

NPI 1942213707

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 10, 2021

Registered at 3420 W ELM ST, MCHENRY, IL 600504433 (Tel: 8153440453)

📍
Updated Business Mailing Address May 10, 2021

Registered at 3420 W ELM ST, MCHENRY, IL 600504433 (Tel: 8153440453)

👤
Provider Name / Credentials Updated May 10, 2021

Recorded as MUSTAFA OBAIDI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Dentist (License #2901021942 in MI)

📍
Updated Practice Location April 11, 2018

Registered at 7710 W NORTH AVE, ELMWOOD PARK, IL 607074123 (Tel: 7084536677)

📍
Updated Business Mailing Address April 11, 2018

Registered at 7710 W NORTH AVE, ELMWOOD PARK, IL 607074123 (Tel: 7084536677)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2018

Dentist (License #019030653 in IL)

NPI Profile Active September 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2016

Registered at 117 W PATERSON ST, KALAMAZOO, MI 490072557 (Tel: 2693492641)

📍
Updated Business Mailing Address September 30, 2016

Registered at 117 W PATERSON ST, KALAMAZOO, MI 490072557 (Tel: 2693492641)

👤
Provider Name / Credentials Updated September 30, 2016

Recorded as MUSTAFA AL OBAIDI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2016

Dentist (License #2901021942 in MI)

🟢
Initial NPI Registration & Enumeration June 07, 2016

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: 1043669419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2016
Last Update: May 10, 2021
Sole Proprietor: No

Mailing Address

3420 W Elm St

Mchenry, IL 600504433

Phone: 8153440453

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.