TAMANNA AZIM
NPI 1124752647
Dentist in Chicago, IL

Q: What is Tamanna Azim's NPI number?

The NPI number for Tamanna Azim is 1124752647. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Q: What is Tamanna Azim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tamanna Azim was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2022

8301 S HOLLAND RD STE B, CHICAGO, IL 60620(773) 488-2444 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2022, Jul 11, 2022 (2 updates tracked since 2022).

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About Tamanna Azim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMANNA AZIM (NPI 1124752647) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.033947) and active in the NPI registry since July 2022. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1124752647

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameTAMANNA AZIM

Location Address8301 S HOLLAND RD STE BChicago, IL 60620-1303

Mailing Address2118 Rutgers DrTroy, MI 48085-3881 · (248) 925-8114

Phone(773) 488-2444

Sole ProprietorNo

Enumeration DateJuly 11, 2022

Last NPPES UpdateSeptember 5, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2022

✔ NPI 1124752647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.033947

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

8301 S HOLLAND RD STE B, Chicago, IL 60620

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Secondary Practice Location 1

Location 14516 S Damen AveChicago, IL 60609-3013 · Phone (773) 869-0201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRIS NOH

Dentist (General Practice)