LAKE FOREST PEDIATIC DENTISTRY, PC is a dental clinic center in Lake Forest, IL. LAKE FOREST PEDIATIC DENTISTRY, PC NPI is 1841608502. The provider is registered as an organization entity type.
The provider's business location address is:
500 N WESTERN AVE SUITE 215 LAKE FOREST, IL ZIP 60045-954 Phone: (847) 482-1900
The provider's authorized official is Joseph Gordon . The authorized official title is Pediatric Dentist, President and has the following contact phone number (847) 482-1900.
The enumeration date for this NPI number is 7/25/2014 and was last updated on 7/25/2014.
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
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