LAKE FOREST PEDIATIC DENTISTRY, PC
NPI 1841608502
Clinic/Center - Dental in Lake Forest, IL

Q: What is Lake Forest Pediatic Dentistry, PC's NPI number?

The NPI number for Lake Forest Pediatic Dentistry, PC is 1841608502. It was assigned to this organization in the NPPES registry on July 25, 2014.

Q: What is Lake Forest Pediatic Dentistry, PC's specialty?

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

Active since July 25, 2014

500 N WESTERN AVE, SUITE 215, LAKE FOREST, IL 60045(847) 482-1900 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Forest Pediatic Dentistry, Pc NPPES

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

LAKE FOREST PEDIATIC DENTISTRY, PC (NPI 1841608502) is a healthcare organization registered as a dental in Lake Forest, Illinois and active in the NPI registry since July 2014. The organization lists Joseph Gordon, Pediatric Dentist, President, as its authorized official.

NPPES Registry Identity

NPI1841608502

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameLAKE FOREST PEDIATIC DENTISTRY, PC

Location Address500 N WESTERN AVE, SUITE 215Lake Forest, IL 60045-1954

Mailing Address500 N Western Ave, Suite 215Lake Forest, IL 60045-1954

Phone(847) 482-1900

Organization SubpartNo

Authorized OfficialJoseph GordonPediatric Dentist, President · (847) 482-1900

Enumeration DateJuly 25, 2014

✔ NPI 1841608502 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 · 019024258

500 N WESTERN AVE, Lake Forest, IL 60045

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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.

PAMELA RAE MORRISON M.S.P.T.

Physical Therapist (Orthopedic)

500 N WESTERN AVE, #202
LAKE FOREST, IL 60045

Lake County (847) 234-1656

MORRISON PHYSICAL THERAPY LLC

Physical Therapist (Orthopedic)

500 N WESTERN AVE, 202
LAKE FOREST, IL 60045

Lake County (847) 234-1656

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 Forest Pediatic Dentistry, PC's NPI number?

The NPI number for Lake Forest Pediatic Dentistry, PC is 1841608502. It was assigned to this organization in the NPPES registry on July 25, 2014.

Where is Lake Forest Pediatic Dentistry, PC located?

Lake Forest Pediatic Dentistry, PC is located at 500 N Western Ave Suite 215, Lake Forest, IL 60045. The listed phone number is (847) 482-1900.

What is Lake Forest Pediatic Dentistry, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Forest Pediatic Dentistry, PC was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.