OrganizationActive
Jacob S Lake DDS Ltd
NPI 1134389208 · General Practice Dentistry · Buffalo Grove, IL
Jacob S Lake DDS Ltd is a General Practice Dentistry organization in Buffalo Grove, IL (NPI 1134389208).
Provider details
- NPI number
- 1134389208
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Lake, Owner(847) 229-1700
- License
- 019016208 (IL)
Practice location
15 E Dundee Rd
Buffalo Grove, IL 60089-4383
Phone: (847) 229-1700
Fax: (847) 229-1737
Street-level locationGet directions
Mailing address
15 E. Dundee Rd
Buffalo Grove, IL 60089
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2011-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.