M-L Dental Clinic Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

019021575 Issued in IL

Legal business name

M-L DENTAL CLINIC INC

Practice address

2836 W Devon Ave
Chicago, IL 60659-1513

Phone

(773) 338-7565

Fax

(773) 338-7565

NPI assigned

Jun 27, 2013

Last updated

Jun 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Saad Salam Habeeb, M. D.NPI 1649617135

Title

Owner

Phone

(773) 338-7565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M-L DENTAL OFFICE INC Former legal business name

Practitioners 1

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.

• Saad Habeeb

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1649617135
  NPD (past) Authorized official

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1275973885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591513",
            "telephone_number": "773-338-7565",
            "fax_number": "773-338-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591513",
            "telephone_number": "773-338-7565",
            "fax_number": "773-338-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-L DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "HABEEB",
        "authorized_official_first_name": "SAAD",
        "authorized_official_middle_name": "SALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-338-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "019021575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019021757",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M-L DENTAL OFFICE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Public Health or Welfare Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Public Health or Welfare Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.