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

Omid Mirkhani, DMD

Individual provider Dentist · NPI 1417790726

Omid Mirkhani, DMD is a Dentist in Addison, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

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

200 W Lake St
Addison, IL 60101-2513
Phone: (619) 906-0376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.035375 (IL)

Record details

NPI number1417790726
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 14, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address200 W Lake St, Addison, IL 60101-2513

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