ALIA EZZIDDIN D.M.D., P.C.
NPI 1649419623
Dentist - General Practice in Wilmette, IL

Active since February 13, 2009
711 11TH ST, WILMETTE, IL 60091(847) 906-8676 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alia Ezziddin D.m.d., P.c. NPPES

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

ALIA EZZIDDIN D.M.D., P.C. (NPI 1649419623) is a healthcare organization registered as a general practice in Wilmette, Illinois and active in the NPI registry since February 2009. The organization lists Alia Ezziddin, Dentist/owner/president, as its authorized official.

NPPES Registry Identity

NPI1649419623
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALIA EZZIDDIN D.M.D., P.C.
Location Address711 11TH STWilmette, IL 60091-2671
Mailing Address711 11th StWilmette, IL 60091-2671 · (847) 906-8676
Organization SubpartNo
Authorized OfficialAlia EzziddinDentist/owner/president · (847) 906-8676
Enumeration DateFebruary 13, 2009
Last NPPES UpdateJune 24, 2016
NPI 1649419623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019027203
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
711 11TH ST, Wilmette, IL 60091

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 2

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

Dermatology
711 11TH ST
WILMETTE, IL 60091
Dermatology
711 11TH ST
WILMETTE, IL 60091

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 Alia Ezziddin D.M.D., P.C.'s NPI number?

The NPI number for Alia Ezziddin D.M.D., P.C. is 1649419623. It was assigned to this organization in the NPPES registry on February 13, 2009.

Where is Alia Ezziddin D.M.D., P.C. located?

Alia Ezziddin D.M.D., P.C. is located at 711 11th St, Wilmette, IL 60091. The listed phone number is (847) 906-8676.

What is Alia Ezziddin D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Alia Ezziddin D.M.D., P.C. was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.