JULIANNA P SHAMOON DMD PLLC
NPI 1124674106
Dentist - Periodontics in Chicago, IL

Active since August 14, 2019
1624 W DIVISION ST STE B, CHICAGO, IL 60622(773) 697-9796 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Periodontics

About JULIANNA P SHAMOON DMD PLLC

This page provides the complete NPI Profile along with additional information for Julianna P Shamoon Dmd Pllc, a provider established in Chicago, Illinois operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1124674106 assigned on August 2019. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Juliannna Shamoon D.m.d. (Periodontist)

NPI
1124674106 Verify this NPI
Provider Name
JULIANNA P SHAMOON DMD PLLC
Entity Type
Organization
Location Address
1624 W DIVISION ST STE B CHICAGO, IL 60622
Location Phone
(773) 697-9796
Mailing Address
18W070 ROYCE BLVD APT 428 OAKBROOK TERRACE, IL 60181
Mailing Phone
(810) 919-8123
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2019
Last Update Date
08-14-2019
Code Navigator

A dentist like Julianna P Shamoon Dmd Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JULIANNNA SHAMOON D.M.D.

Authorized Official Title
PERIODONTIST
Authorized Official Phone
(810) 919-8123

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Periodontics)
1624 W DIVISION ST STE B
CHICAGO, IL 60622
Dentist (Periodontics)
1624 W DIVISION ST STE B
CHICAGO, IL 60622

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124674106, enumerated as an "organization" on August 14, 2019.

The provider is located at 1624 W DIVISION ST STE B CHICAGO, IL 60622 and the phone number is (773) 697-9796.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.