Individual provider · Type 1 NPI

Matthew Lupsan

General Practice Dentistry · Waukegan, IL

NPI number 1619692811 Active

Practice location

2821 Grand Ave
Waukegan, IL 60085-2372

Call (847) 662-4400 Map

Mailing address

1461 S Blue Island Ave
Chicago, IL 60608-2282

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.034201 (IL)

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 1619692811

Matthew Lupsan's National Provider Identifier is 1619692811, issued on Oct 10, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waukegan, IL. The record was last updated on Jul 17, 2026.