Tarek Al-Saadi
Individual provider Active NPI General Practice Dentistry · Homer Glen, IL
NPI 1235528787 · NPPES record last updated Dec 6, 2022
Key facts
- NPI
- 1235528787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019033961 (IL)
- Practice address
- 14403 S Bell Rd
Homer Glen, IL 60491-7881 - Phone
- (708) 966-4018
- NPI assigned
- Jan 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019033961 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Dental PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019033961 | IL | Yes |
Addresses
Primary practice location
14403 S Bell Rd
Homer Glen, IL 60491-7881
Mailing address
6902 Martin Dr
Woodridge, IL 60517-1932
Phone (216) 375-9889
Other providers in Homer Glen, IL
- Advanced Pediatric Therapy, P.C.
- Advanced Surgical Consultants LLC
- Tooba Bint-E- Ajmal
- Layla Nathem Akhras
- Nathem Akhras
- Allegra Psychiatric Care
- Allen Ophthalmic Group
- Sakher Almakhamreh
- Marisa Alonso
- Deborah L. Alvarado
All providers in Homer Glen, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.