IndividualActive
Maria Mora, DDS, MS
NPI 1629348081 · Oral and Maxillofacial Radiology Dentistry · Chicago, IL
Provider details
- NPI number
- 1629348081
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27606 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1629 S Prairie Ave
Chicago, IL 60616-4403
Phone: (919) 923-8729
Fax: (954) 374-7041
Approximate (ZIP-level) locationGet directions
Mailing address
1629 S Prairie Ave
Chicago, IL 60616-4403
Registry dates
- Enumerated
- 2012-01-03
- Last updated
- 2016-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.