Melissa Sara Drab, DDS
Individual provider Active NPI Dentist · Harwood Heights, IL
NPI 1285368043 · NPPES record last updated Jul 15, 2022
Key facts
- NPI
- 1285368043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019.033902 (IL)
- Practice address
- 4747 N Harlem Ave
Harwood Heights, IL 60706-4600 - Phone
- (708) 867-4700
- NPI assigned
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 019.033902 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Dental Associates P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033902 | IL | Yes |
Addresses
Primary practice location
4747 N Harlem Ave
Harwood Heights, IL 60706-4600
Mailing address
400 Talcott PL
Park Ridge, IL 60068-5433
Phone (224) 522-9729
Other practice location 1
10020 Grand Ave
Franklin Park, IL 60131-2547
Phone (847) 455-8383
Other providers in Harwood Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 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.