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

Dr. Kaivon Moradi, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1710737846

Dr. Kaivon Moradi, DMD is an Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

801 S Paulina St
Chicago, IL 60612-7210
Phone: (312) 996-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 019.035222 (IL)

Record details

NPI number1710737846
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 22, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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