Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northshore Metropolitan Dental Associates Inc

Organization General Practice Dentistry · NPI 1174651459

Northshore Metropolitan Dental Associates Inc provides General Practice Dentistry in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1790 Nations Dr Ste 212
Gurnee, IL 60031-9164
Phone: (847) 336-4880
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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 · Licence 019025154 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1174651459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Lau — President · (847) 673-6770
NPI enumeratedMarch 1, 2007
Last updated in NPPESAugust 26, 2019
Mailing address1790 Nations Dr, Suite 212, Gurnee, IL 60031-9164

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