Individual provider · Type 1 NPI

Kaivon Moradi, DMD

Oral and Maxillofacial Surgery (Dentist) · Chicago, IL

NPI number 1710737846 Active

Practice location

801 S Paulina St
Chicago, IL 60612-7210

Call (312) 996-7555 Map

Mailing address

11 Mesa Dr
South Barrington, IL 60010-1094

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019.035222 (IL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1710737846

Kaivon Moradi, DMD's National Provider Identifier is 1710737846, issued on Mar 22, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chicago, IL. The record was last updated on Sep 26, 2024.