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

Lakeshore Dental, Inc

Organization Dentist · NPI 1346540119

Lakeshore Dental, Inc is a Dentist in Glencoe, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 Vernon Ave Ste C
Glencoe, IL 60022-1681
Phone: (847) 835-1450
Fax: (847) 835-0628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019020613 (IL)

Record details

NPI number1346540119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bobrow — Owner · (847) 835-1450
NPI enumeratedOctober 27, 2010
Last updated in NPPESOctober 27, 2010
Mailing address630 Vernon Ave, Suite C, Glencoe, IL 60022-1681

Other providers in Glencoe