Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Therese Moussa, DDS, PC

Organization General Practice Dentistry · NPI 1457892309

Therese Moussa, DDS, PC provides 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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