LAKE FOREST DENTAL ASSOCIATES (NPI# 1538533070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538533070 |
Entity Type | Organization |
Organization Name | LAKE FOREST DENTAL ASSOCIATES |
Practice Address |
133 E Laurel Ave Lake Forest IL 60045-1326 |
Practice Telephone | 8472346440 |
Mailing Telephone | 8472346440 |
Enumeration Date | 2015-11-20 |
Last Update Date | 2015-11-20 |
Authorized Official Name | MONIKA TINCHER (OWNER) |
Authorized Official Telephone | 8057953618 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
019.029812 | IL | Ambulatory Health Care Facilities |
Street Address |
133 E LAUREL AVE |
City | LAKE FOREST |
State | IL |
Zip Code | 60045-1326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396991196 | Lake Forest Dental Associates, PC | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1205 | 2008-08-12 |
1598179483 | Laniel Razdolsky | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1326 | 2014-06-18 |
1306278189 | Monika B Tincher | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1326 | 2013-08-05 |
1821330283 | Sharon Anne Foertsch | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1326 | 2013-03-25 |
1104168467 | Richard Day Cottrell | Dentist | 133 E Laurel Ave, Lake Forest, IL 60045-1326 | 2013-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
Find all providers in zip 60045 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528614633 | Narda Rodriguez Dmd Inc | Clinic/Center | 20671 Lake Forest Dr Ste B103, Lake Forest, CA 92630-7746 | 2019-08-14 |
1659898278 | T. D. Nguyen, D.d.s., Inc. | Clinic/Center | 25432 Trabuco Rd Ste 206, Lake Forest, CA 92630-2758 | 2017-08-24 |
1861888190 | Muirlands Dental | Clinic/Center | 23361 El Toro Rd Ste#105, Lake Forest, CA 92630 | 2015-04-14 |
1568092401 | Jino Park Dds Inc | Clinic/Center | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630-1700 | 2020-01-20 |
1952877854 | Park Dental Group Inc | Clinic/Center | 22611 Lake Forest Dr, Lake Forest, CA 92630-1700 | 2018-10-17 |
1124513601 | Mozhgan Molkara Dds,inc. | Clinic/Center | 21991 El Toro Rd Ste 6, Lake Forest, CA 92630-6518 | 2018-06-27 |
1841608502 | Lake Forest Pediatic Dentistry, PC | Clinic/Center | 500 N Western Ave, Suite 215, Lake Forest, IL 60045-1954 | 2014-07-25 |
1538242912 | Scott E. West Dds, Inc. | Clinic/Center | 22672 Lambert St, #603, Lake Forest, CA 92630-1613 | 2006-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
1437750031 | Secure Dental Xi | Clinic/Center | 1843 W Golf Rd, Schaumburg, IL 60194-1148 | 2020-11-02 |
1780283267 | Jenna Gaw, Dds, Pllc | Clinic/Center | 1724 Locust Pl Apt 303, Schaumburg, IL 60173-4239 | 2020-10-26 |
1740889344 | Nsp Dental LLC | Clinic/Center | 1900 Hollister Dr Ste 190, Libertyville, IL 60048-5283 | 2020-10-23 |
1285232827 | Paul Doodes Dds Phd PC | Clinic/Center | 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137-6282 | 2020-10-15 |
1780290676 | Great Smile Dental Pllc | Clinic/Center | 720 Osterman Ave Ste 304, Deerfield, IL 60015-4339 | 2020-09-16 |
1669087375 | Naperville Smiles Dental | Clinic/Center | 8 W Gartner Rd Ste 124, Naperville, IL 60540-7549 | 2020-09-09 |
1649883364 | Mark J Maly Estate | Clinic/Center | 103 S Main St # Po, Orangeville, IL 61060-9244 | 2020-08-24 |
1760094718 | Stoffel and Tomazin Dental Associates, Ltd | Clinic/Center | 5718 W 35th St, Cicero, IL 60804-4222 | 2020-08-20 |
1215548771 | Meda Dental II LLC | Clinic/Center | 2735 Hassert Blvd Ste 159, Naperville, IL 60564-5205 | 2020-08-10 |
Find all providers with the same taxonomy |
City | LAKE FOREST |
Zip Code | 60045 |
Please comment or provide details below to improve the information on LAKE FOREST DENTAL ASSOCIATES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.