DR. YOUIL MAMOOK DDS NPI 1215926613

NPI Information

NPI: 1215926613
Provider Name: DR. YOUIL MAMOOK, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
2001 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85015
Phone: (602) 249-9621
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DR. Youil Mamook, DDS is a general practice dentist in Phoenix, AZ. The provider is 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. DR. Youil Mamook, DDS NPI is 1215926613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85015-471
Phone: (602) 249-9621
Fax: (602) 841-1916

The NPI 1215926613 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/18/2005 and was last updated on 4/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019023643	ILLINOIS	No
2	1223G0001X	Dentist	General Practice	6072	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1002817	MEDICARE UPIN	ILLINOIS
2	019023643	OTHER	ILLINOIS	DENTAL LISCENSE NUMBER
3	020708422	OTHER	ILLINOIS	TAX ID NUMBER
4	6072	OTHER	ARIZONA	DENTAL LICENSE
5	019023643	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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