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Active NPI 1316514003 Individual Practitioner Male Practitioner

Basel M F Abozor

Dentist - General Practice • Villa Park, IL

Professional Overview & Biography Verified Profile Summary

Basel Abozor is a registered healthcare professional specializing in Dentist - General Practice in Villa Park, IL. Practice services are available at 140 W ROOSEVELT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 W Roosevelt Rd

Villa Park, IL 601813504

Telephone 6828475874
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Villa Park, IL

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

Practicing in Villa Park, 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: 2023-12-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019034595

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

2 Associated Practitioners
NPI 1053207308
Dr. Hussain Al Akam , DDS

Dentist - General Practice

NPI 1336729599

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 02, 2023

Registered at 140 W ROOSEVELT RD, VILLA PARK, IL 601813504 (Tel: 6828475874)

📍
Updated Business Mailing Address December 02, 2023

Registered at 140 W ROOSEVELT RD, VILLA PARK, IL 601813504 (Tel: 6828475874)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2023

Dentist (License #019034595 in IL)

NPI Profile Active June 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2021

Registered at 4071 LEE RD STE 260, CLEVELAND, OH 441282173 (Tel: 4405200603)

📍
Updated Business Mailing Address June 09, 2021

Registered at 3275 GLENBROOK DR APT 105, TWINSBURG, OH 440872964 (Tel: 6828475874)

👤
Provider Name / Credentials Updated June 09, 2021

Recorded as BASEL ABOZOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2021

Dentist (License #4374 in OH)

🟢
Initial NPI Registration & Enumeration June 09, 2021

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: 1316514003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2021
Last Update: December 02, 2023
Sole Proprietor: No

Mailing Address

140 W Roosevelt Rd

Villa Park, IL 601813504

Phone: 6828475874

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.