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

Subhan Manzoor, DDS

Individual provider Dentist · NPI 1124709183

Subhan Manzoor, DDS is a Dentist in Justice, Illinois. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

8021 W 79th St
Justice, IL 60458-1607
Phone: (708) 634-0843
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.034681 (IL)
Dentist Taxonomy 122300000X · Licence 6001302-15 (WI)

Record details

NPI number1124709183
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 31, 2023
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address211 Pamela Dr, Bolingbrook, IL 60440-1373

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