LAVERGNE DENTAL CARE PC
NPI 1245415256
Dentist - General Practice in Cicero, IL

Active since January 09, 2008
4939 W 14TH ST, CICERO, IL 60804(708) 652-1080(708) 652-3080 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lavergne Dental Care Pc NPPES

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

LAVERGNE DENTAL CARE PC (NPI 1245415256) is a healthcare organization registered as a general practice in Cicero, Illinois and active in the NPI registry since January 2008. The organization lists Sherin B Jacob, President, as its authorized official.

NPPES Registry Identity

NPI1245415256
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAVERGNE DENTAL CARE PC
Location Address4939 W 14TH STCicero, IL 60804-1419
Mailing Address4939 W 14th StCicero, IL 60804-1419 · (708) 652-1080 · Fax (708) 652-3080
Fax(708) 652-3080
Organization SubpartNo
Authorized OfficialSherin B JacobPresident · (708) 652-1080
Enumeration DateJanuary 9, 2008
NPI 1245415256 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.
4939 W 14TH ST, Cicero, IL 60804

Other Identifiers 1

Medicaid179906IL

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

Other Providers at the Same Location NPPES 3

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

Dentist
4939 W 14TH ST
CICERO, IL 60804
Dentist (General Practice)
4939 W 14TH ST, SUITE A
CICERO, IL 60804
Dentist
4939 W 14TH ST
CICERO, IL 60804

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 Lavergne Dental Care PC's NPI number?

The NPI number for Lavergne Dental Care PC is 1245415256. It was assigned to this organization in the NPPES registry on January 9, 2008.

Where is Lavergne Dental Care PC located?

Lavergne Dental Care PC is located at 4939 W 14th St, Cicero, IL 60804. The listed phone number is (708) 652-1080.

What is Lavergne Dental Care PC'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 Lavergne Dental Care PC was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.