OrganizationActive
Lake Forest Dental Associates, PC
NPI 1396991196 · Prosthodontics · Lake Forest, IL
Provider details
- NPI number
- 1396991196
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Richard Cottrell, Owner(847) 234-6440
- License
- 019.014822 (IL)
Specialties & taxonomies
Dental Providers
Practice location
133 E Laurel Ave
Lake Forest, IL 60045-1205
Phone: (847) 234-6440
Fax: (847) 234-2195
Approximate (ZIP-level) locationGet directions
Mailing address
133 E Laurel Ave
Lake Forest, IL 60045-1205
Registry dates
- Enumerated
- 2008-08-12
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.