Lake Forest Dental Associates, Pc in Lake Forest - Prosthodontics
Lake Forest Dental Associates, Pc - NPI 1396991196
Lake Forest Dental Associates, Pc is a Prosthodontics in Lake Forest, Illinois. Lake Forest Dental Associates, Pc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Lake Forest Dental Associates, Pc is 1396991196. The last update date is 2008-08-12.
Lake Forest Dental Associates, Pc's current location address is 133 E Laurel Ave, Lake Forest, Illinois. You can contact this provider via phone number 8472346440 and fax number 8472342195. The mailing address for Lake Forest Dental Associates, Pc is 133 E Laurel Ave, Lake Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Forest Dental Associates, Pc |
|---|---|
| Address | 133 E Laurel Ave, Lake Forest, Illinois |
| Phone Number | 8472346440 |
| Fax Number | 8472342195 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cottrell D. Richard |
| Credentials | D.D.S. |
| Telephone Number | 8472346440 |
NPI Number Detail
| NPI Number | 1396991196 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 133 E Laurel Ave |
|---|---|
| City | Lake Forest |
| State | Illinois (IL) |
| Post Code | 600451205 |
| Phone Number | 8472346440 |
| Fax Number | 8472342195 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 19.014822 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the Lake Forest Dental Associates, Pc's unique identification number?
The Lake Forest Dental Associates, Pc has been assigned the NPI (National Provider Identifier) Number 1396991196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lake Forest Dental Associates, Pc's facilities are geographically located?
The facilities of Lake Forest Dental Associates, Pc are physically situated at the following location: 133 E Laurel Ave, Lake Forest, IL, 600451205.
What is the area of specialization for Lake Forest Dental Associates, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lake Forest Dental Associates, Pc is Prosthodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0700X.
On what date was the 1396991196 assigned to Lake Forest Dental Associates, Pc?
The Lake Forest Dental Associates, Pc was issued its 1396991196 on 2008-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lake Forest Dental Associates, Pc most recently updated or refreshed?
The details pertaining to the Lake Forest Dental Associates, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-12.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX