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GRAND DENTAL CARE, LTD
NPI 1366574923
Dentist - General Practice in Waukegan, IL

Active since March 09, 2007
1800 GRAND AVE, WAUKEGAN, IL 60085(847) 336-4180(847) 336-4190 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Grand Dental Care, Ltd NPPES

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

GRAND DENTAL CARE, LTD (NPI 1366574923) is a healthcare organization registered as a general practice in Waukegan, Illinois and active in the NPI registry since March 2007. The organization lists Jae Myung Shim, President, as its authorized official.

NPPES Registry Identity

NPI1366574923
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAND DENTAL CARE, LTD
Location Address1800 GRAND AVEWaukegan, IL 60085-3582
Mailing Address1800 Grand AveWaukegan, IL 60085-3582 · (847) 336-4180 · Fax (847) 336-4190
Phone(847) 336-4180
Fax(847) 336-4190
Organization SubpartNo
Authorized OfficialJae Myung ShimPresident · (847) 336-4180
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366574923 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.
1800 GRAND AVE, Waukegan, IL 60085
Open in Google Maps ↗

Other Identifiers 1

Medicaid102511IL

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 7

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

WILLIAM EDWARDS CAPE MD
Internal Medicine (Cardiovascular Disease)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 360-8800
DR. VU ANH PHAN DDS
Dentist (General Practice)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 336-4155
DR. WILLIAM ORVILLE JANES MD
Internal Medicine
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 360-8800
DR. JAE MYUNG SHIM DDS
Dentist (General Practice)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 336-4180
HEALTH REACH, INC
Clinic/Center
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 360-8800
PADS LAKE COUNTY INC.
Clinic/Center (Adult Mental Health)
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 689-4357
MANOOCHEHR SHARIFI MD
Pediatrics
1800 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 223-2905

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 Grand Dental Care, Ltd's NPI number?

The NPI number for Grand Dental Care, Ltd is 1366574923. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Grand Dental Care, Ltd located?

Grand Dental Care, Ltd is located at 1800 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 336-4180.

What is Grand Dental Care, Ltd'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 Grand Dental Care, Ltd 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 6 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.