Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MARIA MOUCHAHAM
NPI 1639090947
Dentist - Dental Public Health in Great Lakes, IL

Active since July 22, 2026
3440 OHIO ST, GREAT LAKES, IL 60088(765) 283-5927 Get Directions Write a Review

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

About Maria Mouchaham NPPES

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

MARIA MOUCHAHAM (NPI 1639090947) is an individual dental public health provider in Great Lakes, Illinois, licensed in Indiana (019.037143) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1639090947
Entity TypeIndividualFemale
Primary Taxonomy1223D0001X
Provider Legal NameMARIA MOUCHAHAM
Location Address3440 OHIO STGreat Lakes, IL 60088-3155
Mailing Address908 Lake Hill CtFort Wayne, IN 46845-2328
Sole ProprietorNo
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
NPI 1639090947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License Licensed in IN · 019.037143
Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

3440 OHIO ST, Great Lakes, IL 60088

Other Providers at the Same Location NPPES 20

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

Military/U.S. Coast Guard Pharmacy
3440 OHIO ST, BLDG 1017
GREAT LAKES, IL 60088
Dentist
3440 OHIO ST
GREAT LAKES, IL 60088
Dentist
3440 OHIO ST
GREAT LAKES, IL 60088
Dentist
3440 OHIO ST
GREAT LAKES, IL 60088
Dentist
3440 OHIO ST
GREAT LAKES, IL 60088
Dentist
3440 OHIO ST
GREAT LAKES, IL 60088
Dentist
3440 OHIO ST
GREAT LAKES, IL 60088
Dentist (General Practice)
3440 OHIO ST
GREAT LAKES, IL 60088

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 Maria Mouchaham's NPI number?

The NPI number for Maria Mouchaham is 1639090947. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Maria Mouchaham located?

Maria Mouchaham practices at 3440 Ohio St, Great Lakes, IL 60088. The listed phone number is (765) 283-5927.

What is Maria Mouchaham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Maria Mouchaham was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.