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

Mohammed Murtaza Ali Mir

Individual provider Dentist · NPI 1205402625

Mohammed Murtaza Ali Mir is a Dentist in Villa Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

144 W Roosevelt Rd
Villa Park, IL 60181-3504
Phone: (773) 548-0600
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.033098 (IL)

Record details

NPI number1205402625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

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