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

Individual provider Dentist · NPI 1558830794

Sidharth Mohan, MSD, BDS, BS is a Dentist in Shorewood, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

964 Brookforest Ave
Shorewood, IL 60404-8807
Phone: (815) 254-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 019.031930 (IL)
Dentist Taxonomy 122300000X · Licence 019.031930 (IL)

Record details

NPI number1558830794
Entity typeIndividual (Type 1)
GenderMale
Credentials MSD , BDS , BS
Sole proprietorNo
NPI enumeratedNovember 16, 2018
Last updated in NPPESOctober 6, 2019
Mailing address964 Brookforest Ave, Shorewood, IL 60404-8807

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