Jacob S Lake Dds Ltd in Buffalo Grove - General Practice
Jacob S Lake Dds Ltd - NPI 1134389208
Jacob S Lake Dds Ltd is a General Practice in Buffalo Grove, Illinois. Jacob S Lake Dds Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jacob S Lake Dds Ltd is 1134389208. The last update date is 2011-12-30.
Jacob S Lake Dds Ltd's current location address is 15 E. Dundee Rd, Buffalo Grove, Illinois. You can contact this provider via phone number 8472291700 and fax number 8472291737. The mailing address for Jacob S Lake Dds Ltd is 15 E. Dundee Rd, Buffalo Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacob S Lake Dds Ltd |
|---|---|
| Address | 15 E. Dundee Rd, Buffalo Grove, Illinois |
| Phone Number | 8472291700 |
| Fax Number | 8472291737 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lake S Jacob |
| Credentials | DDS |
| Telephone Number | 8472291700 |
NPI Number Detail
| NPI Number | 1134389208 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2011-12-30 |
Provider Mailing Address Detail
| Address | 15 E. Dundee Rd |
|---|---|
| City | Buffalo Grove |
| State | Illinois (IL) |
| Post Code | 60089 |
| Phone Number | 8472291700 |
| Fax Number | 8472291737 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19016208 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197950 | IL | -- | |
| 105621 | IL | -- | |
| 104857 | IL | -- | |
| 109096 | IL | -- | |
| 105622 | IL | -- | |
| 105875 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacob S Lake Dds Ltd?
The Jacob S Lake Dds Ltd has been issued the NPI (National Provider Identifier) 1134389208 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jacob S Lake Dds Ltd is geographically located?
The Jacob S Lake Dds Ltd is physically situated at the following location: 15 E. Dundee Rd, Buffalo Grove, IL, 60089.
What is Jacob S Lake Dds Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacob S Lake Dds Ltd's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did the Jacob S Lake Dds Ltd receive its 1134389208?
The Jacob S Lake Dds Ltd was issued its 1134389208 on 2008-06-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jacob S Lake Dds Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacob S Lake Dds Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-30.
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