LAITH VICTOR DMD
NPI 1912699471
Dentist in Norridge, IL

Active since May 23, 2023PECOS EnrolledAccepts Medicare Assignment
4450 N HARLEM AVE, NORRIDGE, IL 60706(708) 402-9135 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laith Victor Dmd NPPES

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

LAITH VICTOR DMD (NPI 1912699471) is an individual dentist in Norridge, Illinois, licensed in Illinois (019.034154) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912699471
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLAITH VICTORCredential: DMD
Location Address4450 N HARLEM AVENorridge, IL 60706-4745
Mailing Address950 W Erie StChicago, IL 60642-7290 · (248) 953-1211
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
NPI 1912699471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019.034154
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.

4450 N HARLEM AVE, Norridge, IL 60706

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Laith Victor Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456854777
PECOS Enrollment IDI20250912000635
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912699471, enumerated as an "individual" on May 23, 2023.

The provider is located at 4450 N HARLEM AVE NORRIDGE, IL 60706 and the phone number is (708) 402-9135.

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.