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

Therese Moussa, DDS, PC

Organization General Practice Dentistry · NPI 1457892309

Therese Moussa, DDS, PC is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5301 W Fullerton Ave
Chicago, IL 60639-1424
Phone: (773) 622-4950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019027661 (IL)

Record details

NPI number1457892309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Therese Moussa — Owner · (773) 622-4950
Other names Clark Dental Care
NPI enumeratedMarch 12, 2017
Last updated in NPPESMarch 12, 2017
Mailing address5301 W Fullerton Ave, Chicago, IL 60639-1424

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