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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LETICIA MARIA CUELLAR DMD
NPI 1790366136
Oral & Maxillofacial Surgery in Western Springs, IL

Active since April 17, 2021PECOS Enrolled
800 HILLGROVE AVE STE 202, WESTERN SPRINGS, IL 60558(832) 275-6083 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leticia Maria Cuellar Dmd NPPES

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

LETICIA MARIA CUELLAR DMD (NPI 1790366136) is an individual oral & maxillofacial surgery provider in Western Springs, Illinois, licensed in Illinois (021.003547) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790366136
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameLETICIA MARIA CUELLARCredential: DMD
Location Address800 HILLGROVE AVE STE 202Western Springs, IL 60558-1567
Mailing Address233 M L K Jr Dr Se # 233Atlanta, GA 30312 · (832) 275-6083
Phone(832) 275-6083
Sole ProprietorNo
Enumeration DateApril 17, 2021
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1790366136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in IL · 021.003547
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 HILLGROVE AVE STE 202, Western Springs, IL 60558
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leticia Maria Cuellar Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Leticia Cuellar's NPI number?

The NPI number for Leticia Cuellar is 1790366136. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Leticia Cuellar located?

Leticia Cuellar practices at 800 Hillgrove Ave Ste 202, Western Springs, IL 60558. The listed phone number is (832) 275-6083.

What is Leticia Cuellar's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Leticia Cuellar enrolled in Medicare?

Yes. Leticia Cuellar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leticia Cuellar was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.