Iyad Awadallah DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IYAD AWADALLAH DMD PC

Practice address

219 N Hammes Ave Ste 3
Joliet, IL 60435-8145

Phone

(815) 725-7900

NPI assigned

Feb 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Iyad Awadallah, DMDNPI 1124313838

Title

Dentist

Phone

(605) 553-0079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Iyad Samir Awadallah, D.M.D

  • General Practice Dentistry
  • Joliet, IL
  • NPI 1124313838
  NPD Authorized official

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1669127247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE STE 3",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358145",
            "telephone_number": "815-725-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE STE 3",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358145",
            "telephone_number": "815-725-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYAD AWADALLAH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "AWADALLAH",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-553-0079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracey Ivan
• J D Brown & Co Inc (J D Brown Pharmacy)
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• J.E. Bertolini MD, S.C.
• J.E.Bertolini ,M.D. SC. (Advantacare)
• Nabil Jaber, MD

• General Practice Dentistry in Joliet, IL
• Providers in Joliet, 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 Feb 13, 2022; 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.