Ala Dean Attar DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

019025151 Issued in IL

Legal business name

ALA DEAN ATTAR DMD PC

Practice address

712 Florsheim Dr
Suite # 12
Libertyville, IL 60048-5270

Phone

(847) 573-1904

Fax

(847) 573-1535

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ala Dean Attar, DMDNPI 1609994433

Title

Owner

Phone

(847) 573-1904

Specialties & licenses 1

Addresses

Tax ID family

Ala Dean Attar DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ala Dean Attar DMD PC

  • Dental Clinic/Center
  • Libertyville, IL
  • NPI 1982963419
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ala Dean Attar, DMD

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1609994433
  NPD (past) Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1639629645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FLORSHEIM DR STE 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485270",
            "telephone_number": "847-573-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FLORSHEIM DR",
            "address_2": "SUITE # 12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485270",
            "telephone_number": "847-573-1904",
            "fax_number": "847-573-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALA DEAN ATTAR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "ATTAR",
        "authorized_official_first_name": "ALA DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-573-1904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasreen Fatima Ahmed, M.D.
• Osmanuddin Syed Ahmed, MD
• Ajay a Madhani MD SC
• Nimat Akorede
• Akua Oforiwaa Akuffo, DNP-FNP-C
• Ala Dean Attar DMD PC
• Madelyn Grace Albers
• Aleksandra Glodek DMD PC
• Alicia L Alexander, CCC-A
• Mahmoud Ali

• Dentist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.