Individual provider · Type 1 NPI

Ahmed Mansour

General Practice Dentistry · Chicago, IL

NPI number 1003469636 Active

Practice location

2122 N Milwaukee Ave Ste 1
Chicago, IL 60647-4251

Mailing address

502 N Addison Rd
Villa Park, IL 60181-1431

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019032164 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003469636

Ahmed Mansour's National Provider Identifier is 1003469636, issued on Jul 23, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 23, 2019.