GREAT LAKES DENTAL
NPI 1295064541
Dentist - General Practice in Lindenhurst, IL

Q: What is Innovative Dental Management's NPI number?

The NPI number for Innovative Dental Management is 1295064541. It was assigned to this organization in the NPPES registry on December 16, 2009. The provider is also known as Great Lakes Dental.

Q: What is Innovative Dental Management's specialty?

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

Active since December 16, 2009

2246 E GRAND AVE, LINDENHURST, IL 60046(847) 265-6444(847) 264-6464 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Lakes Dental NPPES

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

GREAT LAKES DENTAL (NPI 1295064541) is a healthcare organization registered as a general practice in Lindenhurst, Illinois and active in the NPI registry since December 2009. The organization lists Raja Goel, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1295064541

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameINNOVATIVE DENTAL MANAGEMENT

Location Address2246 E GRAND AVELindenhurst, IL 60046-7522

Mailing Address2246 E Grand AveLindenhurst, IL 60046-7522 · (847) 265-6444 · Fax (847) 264-6464

Phone(847) 265-6444

Fax(847) 264-6464

Organization SubpartNo

Authorized OfficialRaja GoelBusiness Owner · (847) 265-6444

Enumeration DateDecember 16, 2009

✔ NPI 1295064541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IL · 019025474✔ Licensed in IL · 019025462

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.

2246 E GRAND AVE, Lindenhurst, IL 60046

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Other Names 1

Other NameGreat Lakes Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DENTAL PROFESSIONALS OF ILLINOIS, P.C.

Dentist (General Practice)

2246 E GRAND AVE
LINDENHURST, IL 60046

Lake County (847) 265-6444

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 Innovative Dental Management's NPI number?

The NPI number for Innovative Dental Management is 1295064541. It was assigned to this organization in the NPPES registry on December 16, 2009. The provider is also known as Great Lakes Dental.

Where is Innovative Dental Management located?

Innovative Dental Management is located at 2246 E Grand Ave, Lindenhurst, IL 60046. The listed phone number is (847) 265-6444.

What is Innovative Dental Management'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 Innovative Dental Management was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.