Mitchell Dwight Omori, DDS
Mitchell Dwight Omori is a Dentist provider (Dentist) practicing in Deerfield, IL, registered in the NPPES registry with NPI 1164574208 since 2007. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164574208 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mitchell Dwight Omori |
| Credential | DDS |
| Sex | Male |
| Practice address | 400 LAKE COOK RD, SUITE 200A, Deerfield, IL, 60015 |
| Phone | 8479458565 |
| Fax | 8479458278 |
| Enumeration date | 2007-01-17 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | IL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Mitchell Omori, DDS NPI: 1164574208 Taxonomy: 122300000X (Dentist) Address: 400 LAKE COOK RD, SUITE 200A, Deerfield, IL, 60015
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417939489 | Lapp Chiropractic P C | Organization | Chiropractor | Deerfield, IL |
| 1598794422 | Levy & Obrien | Organization | Pediatrics Physician | Deerfield, IL |
| 1679503171 | Jennifer Schott | Individual | Pediatrics Physician | Deerfield, IL |
| 1235158858 | Allison Ackerman | Individual | Clinical Psychologist | Deerfield, IL |
| 1447265855 | Sheri Gostomelsky | Individual | Audiologist | Deerfield, IL |
| 1053427997 | Jeanne Lapp | Individual | Chiropractor | Deerfield, IL |
| 1174629265 | North Suburban Foot & Ankle Centers | Organization | Podiatrist | Deerfield, IL |
| 1699832212 | Wendy Sabbath | Individual | Clinical Psychologist | Deerfield, IL |
Verify this record
Cross-check NPI 1164574208 against the authoritative CMS record: view Mitchell Dwight Omori on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.