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Jacob S Lake Dds Ltd
General Practice Dentistry in Buffalo Grove, Illinois
NPI 1134389208

Jacob S Lake Dds Ltd is a General Practice Dentistry based in Buffalo Grove, IL and is specialized in General Practice. Jacob S Lake Dds Ltd practices in Buffalo Grove, IL. The NPI Number for Jacob S Lake Dds Ltd is 1134389208 and holds a License No. 019016208 (Illinois).

The current practice location address for Jacob S Lake Dds Ltd is 15 E Dundee Rd, Buffalo Grove, IL and can be reached out via phone at 847-229-1700 and via fax at 847-229-1737.

Location: 15 E Dundee Rd, Buffalo Grove, IL, 60089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134389208
Provider Name
Jacob S Lake Dds Ltd
Credential
Provider Entity Type
Organization
Address
15 E Dundee Rd, Buffalo Grove, IL, 60089
Phone Number
847-229-1700
Fax Number
847-229-1737
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
197950 05 IL
105621 05 IL
104857 05 IL
109096 05 IL
105622 05 IL
105875 05 IL
institution
Provider Business Practice Location Address Details
Address
15 E Dundee Rd
City
Buffalo Grove
State
Illinois
Zip
60089-4383
Phone Number
847-229-1700
Fax Number
847-229-1737
person
Provider Business Mailing Address Details
Address
15 E Dundee Rd
City
Buffalo Grove
State
Illinois
Zip
60089-4383
Phone Number
847-229-1700
Fax Number
847-229-1737
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019016208 (Illinois)
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.
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