# MX DENTAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alsip Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982069126
- **Authorized official:** DR. MAZAR S SHUAIPAJ D.D.S. (PRESIDENT)
- **Authorized official phone:** (708) 489-6222

## Contact information

- **Practice address:** 11808 S PULASKI RD, ALSIP, IL 60803-1608
- **Practice address phone:** (708) 489-6222
- **Mailing address:** 11808 S PULASKI RD, ALSIP, IL 60803-1608
- **Mailing address phone:** (708) 489-6222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 03/29/2023