LAKESHORE DENTAL, INC.
NPI 1346540119
Dentist in Glencoe, IL

Q: What is Lakeshore Dental, Inc.'s NPI number?

The NPI number for Lakeshore Dental, Inc. is 1346540119. It was assigned to this organization in the NPPES registry on October 27, 2010.

Q: What is Lakeshore Dental, Inc.'s specialty?

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

Active since October 27, 2010

630 VERNON AVE, SUITE C, GLENCOE, IL 60022(847) 835-1450(847) 835-0628 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeshore Dental, Inc. NPPES

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

LAKESHORE DENTAL, INC. (NPI 1346540119) is a healthcare organization registered as a dentist in Glencoe, Illinois and active in the NPI registry since October 2010. The organization lists Michael Bobrow, Owner, as its authorized official.

NPPES Registry Identity

NPI1346540119

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLAKESHORE DENTAL, INC.

Location Address630 VERNON AVE, SUITE CGlencoe, IL 60022-1681

Mailing Address630 Vernon Ave, Suite CGlencoe, IL 60022-1681 · (847) 835-1450 · Fax (847) 835-0628

Phone(847) 835-1450

Fax(847) 835-0628

Organization SubpartNo

Authorized OfficialMichael BobrowOwner · (847) 835-1450

Enumeration DateOctober 27, 2010

✔ NPI 1346540119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019020613

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.

630 VERNON AVE, Glencoe, IL 60022

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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 12

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

DR. JENNIFER SWENSEN PSY.D.

Psychologist (Clinical)

630 VERNON AVE, #14
GLENCOE, IL 60022

Cook County (847) 220-2414

MIRIAM FISHMAN, PSY.D., LLC

Psychologist (Clinical)

630 VERNON AVE, SUITE G
GLENCOE, IL 60022

Cook County (847) 835-1770

ETHEN CHIROPRACTIC & WELLNESS, SC

Chiropractor

630 VERNON AVE, SUITE F
GLENCOE, IL 60022

Cook County (847) 835-4700

DR. MICHAEL P BOBROW DDS

Dentist (General Practice)

630 VERNON AVE, SUITE C LAKESHORE DENTAL INC
GLENCOE, IL 60022

Cook County (847) 835-1450

DR. AMANDA LINN WEIGEL-KUZNACIC PSY.D.

Psychologist

630 VERNON AVE, SUITE G
GLENCOE, IL 60022

Cook County (847) 835-1770

DR. ALAN D. BUNTMAN PH.D.

Psychologist (Clinical)

630 VERNON AVE, SUITE G
GLENCOE, IL 60022

Cook County (847) 835-1770

JENNIFER ERIN GREGG LCSW

Social Worker (Clinical)

630 VERNON AVE
GLENCOE, IL 60022

Cook County (847) 835-1770

NORTH SUBURBAN PSYCHOLOGICAL ASSOCIATES, LTD.

Psychologist

630 VERNON AVE, SUITE G
GLENCOE, IL 60022

Cook County (847) 835-1770

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 Lakeshore Dental, Inc.'s NPI number?

The NPI number for Lakeshore Dental, Inc. is 1346540119. It was assigned to this organization in the NPPES registry on October 27, 2010.

Where is Lakeshore Dental, Inc. located?

Lakeshore Dental, Inc. is located at 630 Vernon Ave Suite C, Glencoe, IL 60022. The listed phone number is (847) 835-1450.

What is Lakeshore Dental, Inc.'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 Lakeshore Dental, Inc. was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.