Ala Dean Attar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-025151 Issued in IL

Practice address

712 Florsheim Dr Ste 12
Libertyville, IL 60048-5270

Phone

(847) 573-1904

Fax

(847) 573-1535

NPI assigned

Mar 27, 2007

Last updated

May 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• NA NA Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ala Dean Attar DMD PC

  • Dentist
  • Libertyville, IL
  • NPI 1639629645
  NPD (past) Authorized official
• Ala Dean Attar DMD PC

  • Dental Clinic/Center
  • Libertyville, IL
  • NPI 1982963419
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1609994433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FLORSHEIM DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485270",
            "telephone_number": "847-573-1904",
            "fax_number": "847-573-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FLORSHEIM DR STE 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485270",
            "telephone_number": "847-573-1904",
            "fax_number": "847-573-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTAR",
        "first_name": "ALA DEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-025151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Libertyville, IL
• Providers in Libertyville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.