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LAKE FAMILY DENTAL
NPI 1639188295
Dentist - General Practice in Glenview, IL

Active since August 05, 2006
1372 PATRIOT BLVD, GLENVIEW, IL 60026(847) 998-9660(847) 998-9661 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Family Dental NPPES

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

LAKE FAMILY DENTAL (NPI 1639188295) is a healthcare organization registered as a general practice in Glenview, Illinois and active in the NPI registry since August 2006. The organization lists Peter Sung Jong Chang, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1639188295
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKE FAMILY DENTAL
Location Address1372 PATRIOT BLVDGlenview, IL 60026-7777
Mailing Address1372 Patriot BlvdGlenview, IL 60026-7777 · (847) 998-9660 · Fax (847) 998-9661
Phone(847) 998-9660
Fax(847) 998-9661
Organization SubpartNo
Authorized OfficialPeter Sung Jong ChangCo-owner · (847) 998-9660
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639188295 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.
1372 PATRIOT BLVD, Glenview, IL 60026
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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

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

DR. RYUNG SUH D.D.S.
Dentist
1372 PATRIOT BLVD
GLENVIEW, IL 60026
Cook County (847) 998-9660

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 Lake Family Dental's NPI number?

The NPI number for Lake Family Dental is 1639188295. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Lake Family Dental located?

Lake Family Dental is located at 1372 Patriot Blvd, Glenview, IL 60026. The listed phone number is (847) 998-9660.

What is Lake Family Dental'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 Lake Family Dental 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 5 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.