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

Lakeside Dental Center

Organization Dentist · NPI 1063820694

Lakeside Dental Center is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

4945 W Grand Ave
Chicago, IL 60639-4412
Phone: (224) 366-0498
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019029848 (IL)

Record details

NPI number1063820694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hussain Ali — Owner · (224) 366-0498
NPI enumeratedJuly 28, 2014
Last updated in NPPESJuly 28, 2014
Mailing address2218 S Michigan Ave, 2, Chicago, IL 60616-2126

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