Mandalai Oral and Maxillofacial Surgery PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

MANDALAI ORAL AND MAXILLOFACIAL SURGERY PC

Practice address

720 S. Brom Drive Suite 103
Naperville, IL 60540

Phone

(630) 212-4748

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Almandalawi, DMDNPI 1922363126

Title

Doctor

Phone

(909) 367-0744

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, and the practitioner matching its NPPES authorized official.

• Mohammed Kassim Almandalawi, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Henrico, VA
  • NPI 1922363126

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1760007678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 N HARLEM AVE APT 1326",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S. BROM DRIVE SUITE 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-212-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALAI ORAL AND MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "ALMANDALAWI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-367-0744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Maloney, DC
• Maria P Maloto, FNP-C
• Jobby Mampilly, M.D.
• Kim Manalili
• Jeffry Irwin Manasse, PSYD
• Nicole Mandel, RPH
• Rebecca Manderschied, LCSW
• Melissa Mandra, AU.D.
• Carrigan Manetti, PSYD.
• Cynthia J. Manfredi, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Naperville, IL
• Providers in Naperville, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.