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

Innovative Dental Management

Organization General Practice Dentistry · NPI 1295064541

Innovative Dental Management is a General Practice Dentistry in Lindenhurst, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2

Practice location Address checks out

2246 E Grand Ave
Lindenhurst, IL 60046-7522
Phone: (847) 265-6444
Fax: (847) 264-6464
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019025474 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019025462 (IL)

Record details

NPI number1295064541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raja Goel — Business Owner · (847) 265-6444
Other names Great Lakes Dental
NPI enumeratedDecember 16, 2009
Last updated in NPPESDecember 16, 2009
Mailing address2246 E Grand Ave, Lindenhurst, IL 60046-7522

Other providers in Lindenhurst