Individual provider · Type 1 NPI

Michael Basheer Albazzaz, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Niles, IL

NPI number 1366695751 Active

Practice location

400 Golf Mill Ctr
Niles, IL 60714-1222

Mailing address

770 Pearson Street, Unit 701
Des Plaines, IL 60016-9218

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019026794 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021002287 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1366695751

Michael Basheer Albazzaz, DDS, M.S.'s National Provider Identifier is 1366695751, issued on Oct 29, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Niles, IL. The record was last updated on Sep 21, 2015.