IMAGE DENTISTRY NPI 1942754221

NPI Information

  • NPI: 1942754221
  • Provider Name: IMAGE DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 2450 GRASS LAKE RD
    SUITE C
    LINDENHURST, IL
    ZIP 60046
  • Phone: (847) 265-9022

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NPI Details

IMAGE DENTISTRY 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. IMAGE DENTISTRY NPI is 1942754221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2450 GRASS LAKE RD
SUITE C
LINDENHURST, IL
ZIP 60046-613
Phone: (847) 265-9022
Fax: (847) 265-9023

The provider's authorized official is Jacy L Gaylord .
The authorized official title is Manager and has the following contact phone number (847) 804-5229.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019022864ILLINOISYes

What is NPI?

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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