Individual provider · Type 1 NPI
Mohammad Reza Ekhtera, DDS
General Practice Dentistry · Chicago, IL
NPI number
1114908282
Active
Practice location
3190 N. Elston Ave
Chicago, IL 60618-7129
Fax (872) 203-9984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019025849 (IL) |
| Dentist | 122300000X | 019025849 (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 1114908282
Mohammad Reza Ekhtera, DDS's National Provider Identifier is 1114908282, issued on Nov 7, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Oct 20, 2025.