Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Muzaffar Mirza

Organization Dental Clinic/Center · NPI 1407022536

Muzaffar Mirza is a Dental Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

4501 S State St
Chicago, IL 60609-3758
Phone: (773) 548-0600
Fax: (773) 548-0740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019019459 (IL)

Record details

NPI number1407022536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mona Mann — Insurance Coordinator · (773) 548-0600
NPI enumeratedMay 8, 2008
Last updated in NPPESApril 7, 2014
Mailing address4501 S State St, Chicago, IL 60609-3758

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