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

Lakeside Dental Center Inc

Organization Dentist · NPI 1407137151

Lakeside Dental Center Inc provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2218 S Michigan Ave
Chicago, IL 60616-2126 Not confirmed with CMS for 15 years — call before visiting
Phone: (312) 842-7133
Fax: (312) 842-2214
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019010535 (IL)

Record details

NPI number1407137151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Kozlov — Owner · (312) 842-7133
NPI enumeratedSeptember 7, 2011
Last updated in NPPESSeptember 7, 2011
Mailing address2218 S Michigan Ave, Chicago, IL 60616-2126

Other providers in Chicago