Organization Active NPI

Align Dental Group PC.

Doing business as Douglas Dental Center

  • Dentist
  • Waukegan, IL
National Provider Identifier
1124629076
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALIGN DENTAL GROUP PC.
Doing business as
Douglas Dental Center
Practice address
2605 Grand Ave Ste a
Waukegan, IL 60085-2410
Phone
(847) 244-7779
Fax
(847) 244-7778
NPI assigned
Nov 6, 2020
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammad Moein Azimi
Title
Owner
Phone
(630) 608-4647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

2605 Grand Ave Ste a
Waukegan, IL 60085-2410

Mailing address

1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (847) 244-7779

Other names 1

  • Douglas Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2605 Grand Ave
#A
Waukegan, IL 60085
Phone (847) 244-7779

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1124629076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632609",
            "telephone_number": "847-244-7779",
            "fax_number": "847-244-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 GRAND AVE STE A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852410",
            "telephone_number": "847-244-7779",
            "fax_number": "847-244-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN DENTAL GROUP PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "AZIMI",
        "authorized_official_first_name": "MOHAMMAD MOEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-608-4647"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.