Dr. Omar Moukaddem, DMD
Dr. Omar Moukaddem is a Dentist provider (Dentist) practicing in Addison, IL, registered in the NPPES registry with NPI 1336718659 since 2021. The credential DMD stands for Doctor of Medicine in Dentistry.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336718659 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Omar Moukaddem |
| Credential | DMD |
| Sex | Male |
| Practice address | 200 W LAKE ST, Addison, IL, 60101 |
| Phone | 6306283115 |
| Enumeration date | 2021-06-21 |
| Last updated in NPPES | 2021-06-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 019.033148 | IL |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Omar Moukaddem, DMD NPI: 1336718659 Taxonomy: 122300000X (Dentist) Address: 200 W LAKE ST, Addison, IL, 60101
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326288275 | Familia Dental LLC | Organization | Dental Clinic/Center | Addison, IL |
| 1861705428 | Naoshi Hosomura | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Addison, IL |
| 1609159748 | Familia Dental 2 LLC | Organization | Dentist | Addison, IL |
| 1699049221 | Familia Dental 3 LLC | Organization | General Practice Dentistry | Addison, IL |
| 1093124190 | Esam Jumani | Individual | Dentist | Addison, IL |
| 1750731410 | Morae Kang | Individual | Dentist | Addison, IL |
| 1922514975 | Anna Molavi | Individual | Dentist | Addison, IL |
| 1851869994 | Hemang Shah | Individual | Dentist | Addison, IL |
Verify this record
Cross-check NPI 1336718659 against the authoritative CMS record: view Dr. Omar Moukaddem 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.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-21.