DR. ALIA EZZIDDIN DMD
NPI 1780739912
Dentist - General Practice in Wilmette, IL

Active since January 25, 2007
924 HARVARD LN, WILMETTE, IL 60091(312) 237-6390 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alia Ezziddin Dmd NPPES

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

DR. ALIA EZZIDDIN DMD (NPI 1780739912) is an individual general practice provider in Wilmette, Illinois, licensed in Illinois (019.027203) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780739912
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALIA EZZIDDINCredential: DMD
Location Address924 HARVARD LNWilmette, IL 60091-1421
Mailing Address924 Harvard LnWilmette, IL 60091-1421 · (312) 237-6390
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJune 24, 2016
NPI 1780739912 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 · 019.027203
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.
924 HARVARD LN, Wilmette, IL 60091

Other Identifiers 1

Medicaid9185375IL

Accepted Insurance

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's NPI number?

The NPI number for Alia Ezziddin is 1780739912. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Alia Ezziddin located?

Alia Ezziddin practices at 924 Harvard Ln, Wilmette, IL 60091. The listed phone number is (312) 237-6390.

What is Alia Ezziddin's specialty?

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

What insurance does Alia Ezziddin accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Alia Ezziddin 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 Alia Ezziddin 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.