Organization Active NPI

Famm Dental PLLC

  • Dental Clinic/Center
  • Woodridge, IL
National Provider Identifier
1679405575
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FAMM DENTAL PLLC
Practice address
7546 Janes Ave
Woodridge, IL 60517-2926
Phone
(708) 890-4879
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mohannad Musa, DDSNPI 1467245175
Title
Co-Owner
Phone
(708) 890-4879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7546 Janes Ave
Woodridge, IL 60517-2926

Mailing address

7539 160TH St
Tinley Park, IL 60477-1318
Phone (708) 890-4879

Other names 1

  • New Avenue Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1679405575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 160TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771318",
            "telephone_number": "708-890-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172926",
            "telephone_number": "708-890-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "MUSA",
        "authorized_official_first_name": "MOHANNAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-890-4879",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Avenue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.