OMID MIRKHANI DMD
NPI 1417790726
Dentist in Addison, IL

Active since June 14, 2024
200 W LAKE ST, ADDISON, IL 60101(619) 906-0376 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 23, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Omid Mirkhani Dmd NPPES

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

OMID MIRKHANI DMD (NPI 1417790726) is an individual dentist in Addison, Illinois, licensed in Illinois (019.035375) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1417790726
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameOMID MIRKHANICredential: DMD
Location Address200 W LAKE STAddison, IL 60101-2513
Mailing Address200 W Lake StAddison, IL 60101-2513 · (630) 628-3115
Sole ProprietorNo
Enumeration DateJune 14, 2024
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1417790726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019.035375
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

Accepted 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.

Dentist
200 W LAKE ST
ADDISON, IL 60101
Dentist (General Practice)
200 W LAKE ST
ADDISON, IL 60101
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dentist (Orthodontics and Dentofacial Orthopedics)
200 W LAKE ST
ADDISON, IL 60101
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dentist
200 W LAKE ST
ADDISON, IL 60101
Dentist
200 W LAKE ST
ADDISON, IL 60101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417790726, enumerated as an "individual" on June 14, 2024.

The provider is located at 200 W LAKE ST ADDISON, IL 60101 and the phone number is (619) 906-0376.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.