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

Northshore Metropolitan Dental Associates Inc

Organization General Practice Dentistry · NPI 1174651459

Northshore Metropolitan Dental Associates Inc is a General Practice Dentistry in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
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

1790 Nations Dr Ste 212
Gurnee, IL 60031-9164
Phone: (847) 336-4880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019025154 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1174651459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Lau — President · (847) 673-6770
NPI enumeratedMarch 1, 2007
Last updated in NPPESAugust 26, 2019
Mailing address1790 Nations Dr, Suite 212, Gurnee, IL 60031-9164

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