Organization · Type 2 NPI
Children's Dentistry of Lake County and Associates, P.c.
Pediatric Dentistry · Gurnee, IL
NPI number
1124245527
Active
Practice location
5250 Grand Ave Ste 7
Gurnee, IL 60031-1877
Fax (847) 662-7723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021001782 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1124245527
Children's Dentistry of Lake County and Associates, P.c.'s National Provider Identifier is 1124245527, issued on Apr 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gurnee, IL. The record was last updated on Aug 1, 2008.