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

Dr. Michael Lee Primack, DDS

Individual provider General Practice Dentistry · NPI 1710095542

Dr. Michael Lee Primack, DDS is a General Practice Dentistry in Lake Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

860 Waveland Rd
Lake Forest, IL 60045-3944
Phone: (847) 234-2416
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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 019-013904 (IL)

Record details

NPI number1710095542
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESFebruary 5, 2009
Mailing address860 Waveland Rd, Lake Forest, IL 60045-3944

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