Individual provider · Type 1 NPI
Stephen Michael Parker, D. D. S.
General Practice Dentistry · Great Lakes, IL
NPI number
1376517672
Active
Practice location
601 D St
Great Lakes, IL 60088-2822
Fax (847) 688-2737
Mailing address
1104 Loyola Dr
Libertyville, IL 60048-1276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 38726 (CA) |
General Practice Dentistry: 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.
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About NPI 1376517672
Stephen Michael Parker, D. D. S.'s National Provider Identifier is 1376517672, issued on Feb 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 13, 2026.