Mustapha Hotait DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028105 Issued in IL

Legal business name

MUSTAPHA HOTAIT DDS PC

Practice address

1350 E Sibley Blvd
Suite # 302
Dolton, IL 60419-2965

Phone

(708) 849-4644

Fax

(708) 849-4735

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Mustapha Hotait, DDS

Title

Dentist

Phone

(708) 849-4644

Specialties & licenses 1

Addresses

Other names 1

• dolton dental Doing business as

Tax ID family

Dolton Dental2 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.

• Mustapha Hotait DDS PC

  • Dental Clinic/Center
  • Dolton, IL
  • NPI 1306267265
  NPD tax ID

Locations

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1689976540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E SIBLEY BLVD",
            "address_2": "STE 302",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192965",
            "telephone_number": "708-849-4644",
            "fax_number": "708-849-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E SIBLEY BLVD",
            "address_2": "SUITE # 302",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192965",
            "telephone_number": "708-849-4644",
            "fax_number": "708-849-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAPHA HOTAIT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "HOTAIT",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-849-4644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dolton dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mother Dearest
• Sharon L Muhammad, DT
• Renosha Mullins
• Murry Medical, PLLC
• Mustapha Hotait DDS PC
• Ebony Nelson
• Kristian Nelson
• New Hope Center Inc
• New Hope Center Inc
• New Hope Center, Inc.

• General Practice Dentistry in Dolton, IL
• Providers in Dolton, 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 Dec 26, 2013; 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.