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

Maria Mouchaham

Individual provider Public Health Dentistry · NPI 1639090947

Maria Mouchaham is a Public Health Dentistry in Great Lakes, Illinois. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

3440 Ohio St
Great Lakes, IL 60088-3155
Phone: (765) 283-5927
Show map & directions

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

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 019.037143 (IN)

Record details

NPI number1639090947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address908 Lake Hill Ct, Fort Wayne, IN 46845-2328

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