OrganizationActive
Lakeside Dental Center Inc.
NPI 1407137151 · Dentist · Chicago, IL
Lakeside Dental Center Inc. is a Dentist organization in Chicago, IL (NPI 1407137151).
Provider details
- NPI number
- 1407137151
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marvin Kozlov, Owner(312) 842-7133
- License
- 019010535 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2218 S Michigan Ave
Chicago, IL 60616-2126
Phone: (312) 842-7133
Fax: (312) 842-2214
Street-level locationGet directions
Mailing address
2218 S Michigan Ave
Chicago, IL 60616-2126
Registry dates
- Enumerated
- 2011-09-07
- Last updated
- 2011-09-07
Frequently asked questions
- What is Lakeside Dental Center Inc.'s NPI number?
- Lakeside Dental Center Inc.'s National Provider Identifier (NPI) is 1407137151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Dental Center Inc.?
- Lakeside Dental Center Inc. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lakeside Dental Center Inc. located?
- Lakeside Dental Center Inc.'s practice location on file with NPPES is 2218 S Michigan Ave, Chicago, IL 60616-2126.
- What is Lakeside Dental Center Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeside Dental Center Inc. is (312) 842-7133.
- Who is the authorized official for Lakeside Dental Center Inc.?
- The authorized official listed on Lakeside Dental Center Inc.'s NPPES record is Marvin Kozlov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Dental Center Inc.'s NPI active?
- Yes — Lakeside Dental Center Inc.'s NPI (1407137151) is active in the NPPES registry as of the last update on 2011-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.