Najeeb M Abufarha, DMD

Individual provider Active NPI General Practice Dentistry · Woodridge, IL

NPI 1124676507 · NPPES record last updated Aug 29, 2019

Key facts

NPI
1124676507
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
019032298 (IL)
Practice address
7409 Woodridge Dr Ste B
Woodridge, IL 60517-2249
Phone
(773) 546-8648
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019032298ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Najeeb M. Abufarha, DMD, PLLC Current
since Oct 13, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032298 IL Yes

Addresses

Primary practice location

7409 Woodridge Dr Ste B
Woodridge, IL 60517-2249

Mailing address

2825 Gabriella St Unit 601
Downers Grove, IL 60515-3991
Phone (773) 546-8648

Other providers in Woodridge, IL

All providers in Woodridge, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.