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LAKESIDE DENTAL CENTER INC.
NPI 1407137151
Dentist in Chicago, IL

Active since September 07, 2011
2218 S MICHIGAN AVE, CHICAGO, IL 60616(312) 842-7133(312) 842-2214 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Dental Center Inc. NPPES

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

LAKESIDE DENTAL CENTER INC. (NPI 1407137151) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since September 2011. The organization lists Marvin Kozlov, Owner, as its authorized official.

NPPES Registry Identity

NPI1407137151
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKESIDE DENTAL CENTER INC.
Location Address2218 S MICHIGAN AVEChicago, IL 60616-2126
Mailing Address2218 S Michigan AveChicago, IL 60616-2126 · (312) 842-7133 · Fax (312) 842-2214
Phone(312) 842-7133
Fax(312) 842-2214
Organization SubpartNo
Authorized OfficialMarvin KozlovOwner · (312) 842-7133
Enumeration DateSeptember 7, 2011
✔ NPI 1407137151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019010535
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.
2218 S MICHIGAN AVE, Chicago, IL 60616
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

LAKESIDE DENTAL CENTER
Dentist (General Practice)
2218 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 842-7133
LAKEIDE PHARMACY,INC.
Pharmacy (Community/Retail Pharmacy)
2218 S MICHIGAN AVE
CHICAGO, IL 60616
Cook County (312) 567-7531

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 Lakeside Dental Center Inc.'s NPI number?

The NPI number for Lakeside Dental Center Inc. is 1407137151. It was assigned to this organization in the NPPES registry on September 7, 2011.

Where is Lakeside Dental Center Inc. located?

Lakeside Dental Center Inc. is located at 2218 S Michigan Ave, Chicago, IL 60616. The listed phone number is (312) 842-7133.

What is Lakeside Dental Center 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 Lakeside Dental Center Inc. was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.