Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald

Organization Dental Clinic/Center · NPI 1578952065

Gerald is a Dental Clinic/Center in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

1016 Michaels Ln
Libertyville, IL 60048-3715
Phone: (847) 902-8305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019015751 (IL)

Record details

NPI number1578952065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Dismer — Owner · (847) 902-8305
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJanuary 21, 2015
Mailing address1016 Michaels Ln, Libertyville, IL 60048-3715

Other providers in Libertyville