OMAR SOUMAN DMD P.C. NPI 1396024220

NPI Information

NPI: 1396024220
Provider Name: OMAR SOUMAN, DMD, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6301 CERMAK RD STE B
BERWYN, IL
ZIP 60402
Phone: (708) 956-7516
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OMAR SOUMAN, DMD, P.C. is a dental clinic center in Berwyn, IL. OMAR SOUMAN, DMD, P.C. NPI is 1396024220. The provider is registered as an organization entity type.

The provider's business location address is:

6301 CERMAK RD STE B
BERWYN, IL
ZIP 60402-368
Phone: (708) 956-7516

The provider's authorized official is Omar Souman .
The authorized official title is Dentist and has the following contact phone number (312) 283-4350.

The enumeration date for this NPI number is 8/9/2011 and was last updated on 3/25/2014.

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	261QD0000X	Clinic/Center	Dental	019.028602	ILLINOIS	Yes

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: 11/14/2023

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