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OFFICE ANESTHESIOLOGY AND DENTAL CONSULTANTS PC NPI 1649575630


NPI Information

NPI: 1649575630
Provider Name: OFFICE ANESTHESIOLOGY AND DENTAL CONSULTANTS, PC
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

CLIA Number: 14D2004458

Address:
427 W WINDSOR AVE
LOMBARD, IL
ZIP 60148
Phone: (630) 620-9199
Get Directions

OFFICE ANESTHESIOLOGY AND DENTAL CONSULTANTS, PC is a dentist anesthesiologist dentist in Lombard, IL. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. OFFICE ANESTHESIOLOGY AND DENTAL CONSULTANTS, PC NPI is 1649575630. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

427 W WINDSOR AVE
LOMBARD, IL
ZIP 60148-129
Phone: (630) 620-9199
Fax: (877) 620-5899

The provider's authorized official is Zakaria S Messieha .
The authorized official title is President and has the following contact phone number (630) 620-9199.

The CLIA number assigned to this NPI record is 14D2004458 - other - office-based anesthesiolo with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2011 and was last updated on 5/17/2013.


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
1207L00000XAnesthesiology137-000423ILLINOISNo
21223D0004XDentistDentist Anesthesiologist019024338ILLINOISNo
31223D0004XDentistDentist Anesthesiologist12011109AINDIANANo
41223D0004XDentistDentist Anesthesiologist319014980ILLINOISNo
51223D0004XDentistDentist Anesthesiologist137000423ILLINOISYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.