Sahloul Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAHLOUL DENTAL, LLC

Doing business as

Confident Smiles Dental Center

Practice address

9830 Ridgeland Ave Ste 5
Chicago Ridge, IL 60415-2668

Phone

(708) 636-6424

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By 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

Ms. Mona Mann

Title

Credentialing Manager

Phone

(630) 697-8105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Confident Smiles Dental Center Doing business as

Locations

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.

• Jamal Sahloul, DDS

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1114583481
  NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1679163208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE STE 5",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152668",
            "telephone_number": "708-636-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE STE 5",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152668",
            "telephone_number": "708-636-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHLOUL DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-697-8105",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088321",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confident Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Moncia Robinson
• Jiselle Roman, LCPC
• Camlinh Nguyen Roska, NP
• Shaina A Rozell, MD
• Eric C Sagal, PT
• Mohammed Z Sahloul, M.D.
• Najwa Saleh, FNP
• Laura K Sanders, M.D.
• Mohammad Sarhan, M.D.
• Sblendorio Vision Care Inc

• Dental Clinic/Center in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.