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LAKEMOOR DENTAL
NPI 1356719603
Dentist in Lakemoor, IL

Active since September 03, 2015
28956 W. RT 120, LAKEMOOR, IL 60051(815) 363-8888(815) 363-8890 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakemoor Dental NPPES

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

LAKEMOOR DENTAL (NPI 1356719603) is a healthcare organization registered as a dentist in Lakemoor, Illinois and active in the NPI registry since September 2015. The organization lists Sima R Patel, Dentist, as its authorized official.

NPPES Registry Identity

NPI1356719603
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKEMOOR DENTAL
Location Address28956 W. RT 120Lakemoor, IL 60051
Mailing Address28956 W. Rt 120Lakemoor, IL 60051 · (815) 363-8888 · Fax (815) 363-8890
Phone(815) 363-8888
Fax(815) 363-8890
Organization SubpartNo
Authorized OfficialSima R PatelDentist · (815) 363-8888
Enumeration DateSeptember 3, 2015
✔ NPI 1356719603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019023300
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.
28956 W. RT 120, Lakemoor, IL 60051
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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 Lakemoor Dental's NPI number?

The NPI number for Lakemoor Dental is 1356719603. It was assigned to this organization in the NPPES registry on September 3, 2015.

Where is Lakemoor Dental located?

Lakemoor Dental is located at 28956 W. Rt 120, Lakemoor, IL 60051. The listed phone number is (815) 363-8888.

What is Lakemoor Dental'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 Lakemoor Dental was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.