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ISLAND LAKE DENTAL LLC
NPI 1376304626
Dentist - General Practice in Island Lake, IL

Active since January 23, 2024
510 AUBURN DR STE D, ISLAND LAKE, IL 60042(630) 765-1762 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Island Lake Dental Llc NPPES

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

ISLAND LAKE DENTAL LLC (NPI 1376304626) is a healthcare organization registered as a general practice in Island Lake, Illinois and active in the NPI registry since January 2024. The organization lists Nikhar Shah, President, as its authorized official.

NPPES Registry Identity

NPI1376304626
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameISLAND LAKE DENTAL LLC
Location Address510 AUBURN DR STE DIsland Lake, IL 60042-9105
Mailing Address232 Stonington DrBloomingdale, IL 60108-7810 · (630) 765-1762
Phone(630) 765-1762
Organization SubpartNo
Authorized OfficialNikhar ShahPresident · (630) 765-1762
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1376304626 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.
510 AUBURN DR STE D, Island Lake, IL 60042
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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 Island Lake Dental LLC's NPI number?

The NPI number for Island Lake Dental LLC is 1376304626. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Island Lake Dental LLC located?

Island Lake Dental LLC is located at 510 Auburn Dr Ste D, Island Lake, IL 60042. The listed phone number is (630) 765-1762.

What is Island Lake Dental LLC'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 Island Lake Dental LLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.