MARIA MOUCHAHAM NPI 1639090947

NPI Information

  • NPI: 1639090947
  • Provider Name: MARIA MOUCHAHAM
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Individual
  • Address: 3440 OHIO ST
    GREAT LAKES, IL
    ZIP 60088
  • Phone: (765) 283-5927

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NPI Details

Maria Mouchaham is a dental public health dentist in Great Lakes, IL. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. Maria Mouchaham NPI is 1639090947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3440 OHIO ST
GREAT LAKES, IL
ZIP 60088-155
Phone: (765) 283-5927

The enumeration date for this NPI number is 7/22/2026 and was last updated on 7/22/2026.

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
11223D0001XDentistDental Public Health019.037143INDIANAYes

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: 11/21/2025

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