MEDICARE: ELITE DENTISTRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019028978	IL

General Provider Information

NPI Number	:	1598163305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE DENTISTRY PC

Provider Business Mailing Address
First Line	:	24 DENNISON DR
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1875
Country	:	US
Telephone Number	:	630-201-1969
Fax Number	:	630-295-8408

Provider Business Practice Location Address
First Line	:	24 DENNISON DR
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-1875
Country	:	US
Telephone Number	:	630-201-1969
Fax Number	:	630-295-8408

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MOHAMED WAHEED
Credential	:	D.D.S
Telephone Number	:	630-201-1969

Provider Enumeration Date	:	12/10/2014
Last Update Date	:	12/10/2014

Similar Medicare Providers

1053685446 — HALINA KROK PTA
Practice Location Address:

12 DENNISON DR
GLENDALE HEIGHTS, IL
60139-1875

Practice Phone: 630-479-6019
Practice Fax:

1124389069 — DR. MOHAMED S WAHEED DDS
Practice Location Address:

24 DENNISON DR
GLENDALE HEIGHTS, IL
60139-1875

Practice Phone: 163-020-1196
Practice Fax:

1952777435 — ANA M SNYDER L.M.T.
Practice Location Address:

5842 W MYRTLE AVE
GLENDALE, AZ
85301-1875

Practice Phone: 602-799-3336
Practice Fax: 602-589-6212

1184877748 — DR. MANILOM JULIE DOUANGPHILA O.D.
Practice Location Address:

806 S ALLEN HEIGHTS DR , SUITE 300
ALLEN, TX
75002-1875

Practice Phone: 214-383-7600
Practice Fax: 214-383-7652

1043519556 — OPTIMEYES OPTOMETRY, PLLC
Practice Location Address:

806 S ALLEN HEIGHTS DR , SUITE 300
ALLEN, TX
75002-1875

Practice Phone: 214-383-7600
Practice Fax: 214-383-7652

1861807208 — ALLEN CENTER DENTAL PLLC
Practice Location Address:

806 S ALLEN HEIGHTS DR , SUITE 400
ALLEN, TX
75002-1875

Practice Phone: 972-727-1700
Practice Fax:

Directions to “ELITE DENTISTRY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.