Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780739912 Individual Practitioner Female Practitioner

Dr. Alia Ezziddin , DMD

Dentist - General Practice • Wilmette, IL

Professional Overview & Biography Verified Profile Summary

Dr. Alia Ezziddin, DMD is a registered healthcare professional specializing in Dentist - General Practice in Wilmette, IL. Practice services are available at 924 HARVARD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

924 Harvard Ln

Wilmette, IL 600911421

Telephone 3122376390

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wilmette, IL

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

Practicing in Wilmette, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.027203

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9185375 (IL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2016

Registered at 924 HARVARD LN, WILMETTE, IL 600911421 (Tel: 3122376390)

📍
Updated Business Mailing Address June 24, 2016

Registered at 924 HARVARD LN, WILMETTE, IL 600911421 (Tel: 3122376390)

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Provider Name / Credentials Updated June 24, 2016

Recorded as ALIA EZZIDDIN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2016

Dentist (License #019.027203 in IL)

🟢
Initial NPI Registration & Enumeration January 25, 2007

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: 1780739912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: June 24, 2016
Sole Proprietor: Yes

Mailing Address

924 Harvard Ln

Wilmette, IL 600911421

Phone: 3122376390

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.