Provider Demographics
NPI:1386907160
Name:ATASSI, MANAR SAAI (DDS)
Entity type:Individual
Prefix:DR
First Name:MANAR
Middle Name:SAAI
Last Name:ATASSI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1443
Mailing Address - Country:US
Mailing Address - Phone:312-339-3746
Mailing Address - Fax:
Practice Address - Street 1:6418 S CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-3209
Practice Address - Country:US
Practice Address - Phone:630-963-8680
Practice Address - Fax:630-963-5899
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019029058122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist