IndividualActive
Haider Aljewari, DMD
NPI 1245686724 · Periodontics · Champaign, IL
Provider details
- NPI number
- 1245686724
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 019.030669 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3002 Crossing Ct
Champaign, IL 61822-6135
Phone: (956) 414-5979
Approximate (ZIP-level) locationGet directions
Mailing address
3002 Crossing Ct
Champaign, IL 61822-6135
Registry dates
- Enumerated
- 2016-05-13
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.