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LAKESIDE DENTAL CENTER
NPI 1063820694
Dentist in Chicago, IL

Active since July 28, 2014
4945 W GRAND AVE, CHICAGO, IL 60639(224) 366-0498 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE DENTAL CENTER (NPI 1063820694) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since July 2014. The organization lists Hussain Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1063820694
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKESIDE DENTAL CENTER
Location Address4945 W GRAND AVEChicago, IL 60639-4412
Mailing Address2218 S Michigan Ave, 2Chicago, IL 60616-2126 · (312) 842-7133 · Fax (312) 842-2082
Phone(224) 366-0498
Organization SubpartNo
Authorized OfficialHussain AliOwner · (224) 366-0498
Enumeration DateJuly 28, 2014
✔ NPI 1063820694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019029848
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4945 W GRAND AVE, Chicago, IL 60639
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Dental Center's NPI number?

The NPI number for Lakeside Dental Center is 1063820694. It was assigned to this organization in the NPPES registry on July 28, 2014.

Where is Lakeside Dental Center located?

Lakeside Dental Center is located at 4945 W Grand Ave, Chicago, IL 60639. The listed phone number is (224) 366-0498.

What is Lakeside Dental Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lakeside Dental Center was last updated on July 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.