Tesneim Awadallah, DMD
Dentist, General Practice in Burbank, IL. Individual provider (NPI-1).
NPI number1558034116
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1558034116
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tesneim Awadallah
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2021
- Certification date
- Jul 29, 2021
- Last updated
- Jul 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019033351 | IL | Yes |
Practice location
5600 W 87th StBurbank, IL 60459-2902
Phone 708-952-0000
Mailing address
5600 W 87th StBurbank, IL 60459-2902
Phone 708-952-0000 · Fax 708-952-0001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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