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WADSWORTH DENTAL
NPI 1235356635
Dentist in Beach Park, IL

Active since April 19, 2007
11316 W WADSWORTH RD, BEACH PARK, IL 60099(847) 872-5530(847) 872-1683 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Wadsworth Dental NPPES

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

WADSWORTH DENTAL (NPI 1235356635) is a healthcare organization registered as a dentist in Beach Park, Illinois and active in the NPI registry since April 2007. The organization lists Tayseer Ahmed Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1235356635
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTAYSEER A IBRAHIM DDS PC
Location Address11316 W WADSWORTH RDBeach Park, IL 60099-3367
Mailing Address11316 W Wadsworth RdBeach Park, IL 60099-3367 · (847) 872-5530 · Fax (847) 872-1683
Phone(847) 872-5530
Fax(847) 872-1683
Organization SubpartNo
Authorized OfficialTayseer Ahmed IbrahimPresident · (847) 872-5530
Enumeration DateApril 19, 2007
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1235356635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 01925457
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.
11316 W WADSWORTH RD, Beach Park, IL 60099
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Other Names 1

Doing Business AsWadsworth Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MAVES MEDICAL LTD
Surgery
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Lake County (847) 731-9663
TAYSEER AHMED IBRAHIM
Dentist (General Practice)
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Lake County (847) 872-5530
DR. JONATHON EUGENE LARSON ED.D., CRC, LCPC
Counselor (Professional)
11316 W WADSWORTH RD, SUITE 102
BEACH PARK, IL 60099
Lake County (224) 216-0095
DR. JOHN T PATENAUDE DC
Chiropractor
11316 W WADSWORTH RD
BEACH PARK, IL 60099
Lake County (847) 872-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tayseer A Ibrahim Dds PC's NPI number?

The NPI number for Tayseer A Ibrahim Dds PC is 1235356635. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Wadsworth Dental.

Where is Tayseer A Ibrahim Dds PC located?

Tayseer A Ibrahim Dds PC is located at 11316 W Wadsworth Rd, Beach Park, IL 60099. The listed phone number is (847) 872-5530.

What is Tayseer A Ibrahim Dds PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tayseer A Ibrahim Dds PC was last updated on January 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.