INNOVATIVE DENTAL MANAGEMENT is a general practice dentist in Lindenhurst, IL. The provider is 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. INNOVATIVE DENTAL MANAGEMENT NPI is 1295064541. The provider is registered as an organization entity type and is a multi-specialty group. The provider Other Name Is Great Lakes Dental.
The provider's business location address is:
2246 E GRAND AVE LINDENHURST, IL ZIP 60046-522 Phone: (847) 265-6444 Fax: (847) 264-6464
The provider's authorized official is Raja Goel . The authorized official title is Business Owner and has the following contact phone number (847) 265-6444.
The enumeration date for this NPI number is 12/16/2009 and was last updated on 12/16/2009.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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