Dr Omar Moukaddem, DMD - Dentist in Addison, IL

Dr Omar Moukaddem, DMD is a Dentist based in Addison, Illinois. Dr Omar Moukaddem is licensed to practice in Illinois (license number 019.033148) and his current practice location is 200 W Lake St, Addison, Illinois. He can be reached at his office (for appointments etc.) via phone at (630) 628-3115.

NPI number for Dr Omar Moukaddem is 1336718659 and his current mailing address is 200 W Lake St, Addison, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336718659.

Contact Information

Dr Omar Moukaddem, DMD
200 W Lake St,
Addison, IL 60101-2513
(630) 628-3115
Not Available



Healthcare Provider's Profile

Full NameDr Omar Moukaddem
GenderMale
SpecialityDentist
Location200 W Lake St, Addison, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336718659
  • Provider Enumeration Date: 06/21/2021
  • Last Update Date: 06/21/2021

Medical Identifiers

Medical identifiers for Dr Omar Moukaddem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336718659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019.033148 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Omar Moukaddem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Omar Moukaddem, DMD
200 W Lake St,
Addison, IL 60101-2513

Ph: (630) 628-3115
Dr Omar Moukaddem, DMD
200 W Lake St,
Addison, IL 60101-2513

Ph: (630) 628-3115

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› Verified 4 days ago


Dentist in Addison, IL

Dr. Thomas Robert Leischner Sr., D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 403 E Stone Ave, Addison, IL 60101
Phone: 630-833-2425    Fax: 630-833-9353
Dr. James Michael Knauf, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 96 W Moreland Ave, Addison, IL 60101
Phone: 630-543-0043    
Dr. Kenneth Masayuki Hamada, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 W Army Trail Blvd, Addison, IL 60101
Phone: 630-543-8688    Fax: 630-543-8692
Dr. Eric Charles Foster, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1250 W Lake St Ste 20, Addison, IL 60101
Phone: 630-628-1550    Fax: 630-628-5169
Demetrios Diamantakos, DDS PC
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 96 W Moreland Ave, Addison, IL 60101
Phone: 630-543-7180    Fax: 630-543-9803
Dr. Zoya Shaikh, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 276 W Fullerton Ave, Addison, IL 60101
Phone: 630-628-8884    
Dr. Neerja Aggarwal, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 276 W Fullerton Ave, Addison, IL 60101
Phone: 630-628-8884    Fax: 630-628-1104

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