Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARYAM MOGHADAM, DDS
ActiveDR. MARYAM MOGHADAM, DDS is a Dentist healthcare provider located in EVANSTON, Illinois. NPI 1306874029 is currently active in the NPPES registry. Verify at CMS.
Dentist · EVANSTON, IL
Registration Details
- NPI Number
- 1306874029
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2006 (20.089383739831 yrs)
- Last Updated
- Feb 26, 2025
- Licenses
-
019025836 (IL)D010262 (AZ)
Practice Information
- Address
-
234 RIDGE AVE#1EVANSTON, IL, 602023349Browse IL providers · Browse ZIP 60202
- Phone
- 8478645491
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in EVANSTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LESLIE REEDER | DDS | 1497740724 |
| DR. RICHARD TYE | D.D.S. | 1174505663 |
| DR. ASHLEY YUEN-LING CHAN | DDS | 1013967876 |
| DR. HAE Y YOON | DDS | 1265501324 |
| MR. JIMMY ROBERT DONG | DDS | 1043384456 |
| DR. BRADLEY ALAN WEISS | DDS | 1821152729 |
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.