Provider Demographics
NPI:1992025266
Name:DAIBIS, RAMZI (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RAMZI
Middle Name:
Last Name:DAIBIS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-2814
Mailing Address - Country:US
Mailing Address - Phone:306-320-8888
Mailing Address - Fax:
Practice Address - Street 1:433 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-2814
Practice Address - Country:US
Practice Address - Phone:630-320-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0283061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics