Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Dental Care, Ltd

Organization General Practice Dentistry · NPI 1366574923

Grand Dental Care, Ltd provides General Practice Dentistry in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 Grand Ave
Waukegan, IL 60085-3582
Phone: (847) 336-4180
Fax: (847) 336-4190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1366574923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jae Shim — President · (847) 336-4180
NPI enumeratedMarch 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1800 Grand Ave, Waukegan, IL 60085-3582

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