LAKESIDE DENTAL CENTER
NPI 1104046671
Dentist - General Practice in Chicago, IL

Active since April 26, 2007
2218 S MICHIGAN AVE, CHICAGO, IL 60616(312) 842-7133(312) 842-7148 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Dental Center NPPES

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

LAKESIDE DENTAL CENTER (NPI 1104046671) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists Charles Zelmore Teicher, President, as its authorized official.

NPPES Registry Identity

NPI1104046671
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESIDE DENTAL CENTER
Location Address2218 S MICHIGAN AVEChicago, IL 60616-2126
Mailing Address2218 S Michigan AveChicago, IL 60616-2126 · (312) 842-7133 · Fax (312) 842-7148
Fax(312) 842-7148
Organization SubpartNo
Authorized OfficialCharles Zelmore TeicherPresident · (312) 842-7133
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1104046671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
2218 S MICHIGAN AVE, Chicago, IL 60616

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2218 S MICHIGAN AVE
CHICAGO, IL 60616
Pharmacy (Community/Retail Pharmacy)
2218 S MICHIGAN AVE
CHICAGO, IL 60616

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 1104046671. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Lakeside Dental Center located?

Lakeside Dental Center is located at 2218 S Michigan Ave, Chicago, IL 60616. The listed phone number is (312) 842-7133.

What is Lakeside Dental Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lakeside Dental Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.