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DR. OMAR MOUKADDEM DMD
NPI 1336718659
Dentist in Addison, IL

Active since June 21, 2021
200 W LAKE ST, ADDISON, IL 60101(630) 628-3115 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Omar Moukaddem Dmd NPPES

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

DR. OMAR MOUKADDEM DMD (NPI 1336718659) is an individual dentist in Addison, Illinois, licensed in Illinois (019.033148) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1336718659
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. OMAR MOUKADDEMCredential: DMD
Location Address200 W LAKE STAddison, IL 60101-2513
Mailing Address200 W Lake StAddison, IL 60101-2513 · (630) 628-3115
Phone(630) 628-3115
Sole ProprietorNo
Enumeration DateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1336718659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.033148
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.
200 W LAKE ST, Addison, IL 60101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. ESAM JUMANI D.D.S
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 628-3115
HANI ZENO
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 628-3115
FAISAL MALIK
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (888) 988-4066
OMID MIRKHANI DMD
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (619) 906-0376
FAMILIA DENTAL 2 LLC
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (888) 988-4066
NOOR AL SAMMARRAIE
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 628-3115
FAMILIA DENTAL 3 LLC
Dentist (General Practice)
200 W LAKE ST
ADDISON, IL 60101
Dupage County (888) 988-4066
MORAE KAYE KANG DMD
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dupage County (888) 988-4066

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 Omar Moukaddem's NPI number?

The NPI number for Omar Moukaddem is 1336718659. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Omar Moukaddem located?

Omar Moukaddem practices at 200 W Lake St, Addison, IL 60101. The listed phone number is (630) 628-3115.

What is Omar Moukaddem's specialty?

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

What insurance does Omar Moukaddem accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Omar Moukaddem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omar Moukaddem was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.