GREAT LAKES DENTAL SOLUTIONS
NPI 1447657234
Clinic/Center - Dental in Libertyville, IL

Active since November 23, 2014
1418 S MILWAUKEE AVE, SUITE 4, LIBERTYVILLE, IL 60048(815) 209-6272 Get Directions Write a Review

NPPES record last updated: December 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Dental Solutions NPPES

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

GREAT LAKES DENTAL SOLUTIONS (NPI 1447657234) is a healthcare organization registered as a dental in Libertyville, Illinois and active in the NPI registry since November 2014. The organization lists Anshuman Soni, President / Dentist, as its authorized official.

NPPES Registry Identity

NPI1447657234
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREAT LAKES DENTAL P.C.
Location Address1418 S MILWAUKEE AVE, SUITE 4Libertyville, IL 60048-3796
Mailing Address1418 S Milwaukee Ave, Suite 4Libertyville, IL 60048-3796
Organization SubpartNo
Authorized OfficialAnshuman SoniPresident / Dentist · (815) 209-6272
Enumeration DateNovember 23, 2014
Last NPPES UpdateDecember 16, 2014
NPI 1447657234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IL · 019026289
1418 S MILWAUKEE AVE, Libertyville, IL 60048

Other Names 1

Doing Business AsGreat Lakes Dental Solutions

Other Identifiers 2

Other1265415244IL · Npi 1
Medicaid9176879IL

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1418 S MILWAUKEE AVE, SUITE # 4
LIBERTYVILLE, IL 60048

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 Great Lakes Dental P.C.'s NPI number?

The NPI number for Great Lakes Dental P.C. is 1447657234. It was assigned to this organization in the NPPES registry on November 23, 2014. The provider is doing business as Great Lakes Dental Solutions.

Where is Great Lakes Dental P.C. located?

Great Lakes Dental P.C. is located at 1418 S Milwaukee Ave Suite 4, Libertyville, IL 60048. The listed phone number is (815) 209-6272.

What is Great Lakes Dental P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Great Lakes Dental P.C. accept?

Health plans from UnitedHealthcare list Great Lakes Dental P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Dental P.C. was last updated on December 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.