Prime Endodontics

Endodontics · Tinley Park, IL

Organization Active NPI

NPI number 1275445835

Practice location

17047 Harlem Ave
Tinley Park, IL 60477-2739
Phone
(708) 580-0010

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NPI record

NPI
1275445835
Entity type
Organization (Type 2)
Enumeration date
September 18, 2026
Last updated
September 18, 2026
Certified
September 18, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X — —

Authorized official

Name
Dr. Mahmoud Mona, DMD
Title
President
Phone
(904) 738-1049

About Prime Endodontics

Prime Endodontics is a healthcare organization registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 17047 Harlem Ave, Tinley Park, IL 60477-2739. The NPI number 1275445835 was assigned on September 18, 2026 and the record was last updated on September 18, 2026.

The authorized official for this organization is Dr. Mahmoud Mona, DMD, President.

Frequently asked questions

What is the NPI number of Prime Endodontics?

The NPI number is 1275445835.

What is the phone number of Prime Endodontics?

The phone number listed for the practice location is (708) 580-0010.

Where is Prime Endodontics located?

17047 Harlem Ave, Tinley Park, IL 60477-2739.

What is the taxonomy code for Prime Endodontics?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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