DR. MICHAEL LEE PRIMACK D.D.S.
NPI 1710095542
Dentist - General Practice in Lake Forest, IL

Active since August 29, 2006
860 WAVELAND RD, LAKE FOREST, IL 60045(847) 234-2416 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Lee Primack D.d.s. NPPES

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

DR. MICHAEL LEE PRIMACK D.D.S. (NPI 1710095542) is an individual general practice provider in Lake Forest, Illinois, licensed in Illinois (019-013904) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1710095542
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL LEE PRIMACKCredential: D.D.S.
Location Address860 WAVELAND RDLake Forest, IL 60045-3944
Mailing Address860 Waveland RdLake Forest, IL 60045-3944 · (847) 234-2416
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateFebruary 5, 2009
NPI 1710095542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-013904
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.
860 WAVELAND RD, Lake Forest, IL 60045

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 Michael Primack's NPI number?

The NPI number for Michael Primack is 1710095542. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Michael Primack located?

Michael Primack practices at 860 Waveland Rd, Lake Forest, IL 60045. The listed phone number is (847) 234-2416.

What is Michael Primack'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 Michael Primack was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.