Lake Forest Pediatic Dentistry, PC
Lake Forest Pediatic Dentistry, PC is a Dental Clinic/Center in Lake Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
500 N Western Ave Ste 215Lake Forest, IL 60045-1954
Phone: (847) 482-1900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019024258 (IL) |
|---|
Record details
| NPI number | 1841608502 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Gordon — Pediatric Dentist, President · (847) 482-1900 |
| NPI enumerated | July 25, 2014 |
| Last updated in NPPES | July 25, 2014 |
| Mailing address | 500 N Western Ave, Suite 215, Lake Forest, IL 60045-1954 |
Other providers in Lake Forest
-
Lake Forest Dental Associates
133 E Laurel Ave, Lake Forest, IL 60045-1326 · (847) 234-6440
-
W Brian Ross DDS PC
1400 N Western Ave, Lake Forest, IL 60045-5404 · (847) 234-8608