Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PRIME ENDODONTICS
NPI 1275445835
Dentist - Endodontics in Tinley Park, IL

Active since September 18, 2026
17047 HARLEM AVE, TINLEY PARK, IL 60477(708) 580-0010 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Prime Endodontics NPPES

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

PRIME ENDODONTICS (NPI 1275445835) is a healthcare organization registered as an endodontics in Tinley Park, Illinois and active in the NPI registry since September 2026. The organization lists Mahmoud Mona, President, as its authorized official.

NPPES Registry Identity

NPI1275445835
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NamePRIME ENDODONTICS
Location Address17047 HARLEM AVETinley Park, IL 60477-2739
Mailing Address17047 Harlem AveTinley Park, IL 60477-2739 · (708) 580-0010 · Fax (708) 580-0050
Organization SubpartNo
Authorized OfficialMahmoud MonaPresident · (708) 580-0010
Enumeration DateSeptember 18, 2026
Last NPPES UpdateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1275445835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
17047 HARLEM AVE, Tinley Park, IL 60477

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

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

Dentist (Endodontics)
17047 HARLEM AVE
TINLEY PARK, IL 60477

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 Prime Endodontics's NPI number?

The NPI number for Prime Endodontics is 1275445835. It was assigned to this organization in the NPPES registry on September 18, 2026.

Where is Prime Endodontics located?

Prime Endodontics is located at 17047 Harlem Ave, Tinley Park, IL 60477. The listed phone number is (708) 580-0010.

What is Prime Endodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Prime Endodontics was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.