Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HUSAM HIWIADI, DMD
Active Sole ProprietorHUSAM HIWIADI, DMD is a General Dentistry healthcare provider located in WAUKEGAN, Illinois. NPI 1689305765 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WAUKEGAN, IL
Registration Details
- NPI Number
- 1689305765
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2022 (4.1548341288047 yrs)
- Last Updated
- Jun 29, 2022
- License
-
019.033617 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3953 FOUNTAIN SQUARE PLWAUKEGAN, IL, 600856705Browse IL providers · Browse ZIP 60085
- Phone
- 8177938559
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WAUKEGAN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. GUILLERMO ARIZONA | D.D.S. | 1275535338 |
| DR. MICHAEL S PAPENDICK | D.D.S | 1801890215 |
| DR. RANDY CHANG | D.D.S. | 1013913342 |
| DR. SUMRANA S AHMED | DDS | 1922097294 |
| DR. GERALD ALLEN DISMER | DDS | 1053301895 |
| DR. MARY RASTY | DDS | 1437132412 |
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.