DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAHMOUD JALLAD, DDS, MSD

Active Sole Proprietor

MAHMOUD JALLAD, DDS, MSD is a Dentist healthcare provider located in HERRIN, Illinois. NPI 1083013171 is currently active in the NPPES registry. Verify at CMS.

Dentist · HERRIN, IL

Registration Details

NPI Number
1083013171
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2014 (11.958153738717 yrs)
Last Updated
Sep 5, 2022
License
019.029749 (IL)
Sole Proprietor
Yes

Practice Information

Address
3024 S PARK AVE
HERRIN, IL, 629483721
Browse IL providers · Browse ZIP 62948
Phone
8333379563
Primary Specialty
Dentist
122300000X

Other Dentist Providers in HERRIN, IL

Name Credential NPI
DR. TIMOTHY J LOUGHRAN D.D.S 1295734119
DR. CHRISTOPHER H HUGHES DMD 1568536795
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.