Healthcare Provider Details

I. General information

NPI: 1669392445
Provider Name (Legal Business Name): ZARISH LODHI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 W SAINT CHARLES RD
VILLA PARK IL
60181-2432
US

IV. Provider business mailing address

226 WILDWOOD CT
BLOOMINGDALE IL
60108-1875
US

V. Phone/Fax

Practice location:
  • Phone: 630-629-3120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037319
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: