OrganizationActive
Great Lakes Dental P.C.
NPI 1447657234 · Dental Clinic/Center · Libertyville, IL
Great Lakes Dental P.C. is a Dental Clinic/Center organization in Libertyville, IL (NPI 1447657234).
Provider details
- NPI number
- 1447657234
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anshuman Soni, President / Dentist(815) 209-6272
- License
- 019026289 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1418 S Milwaukee Ave
Suite 4
Libertyville, IL 60048-3796
Phone: (815) 209-6272
Street-level locationGet directions
Mailing address
1418 S Milwaukee Ave
Libertyville, IL 60048-3796
Other names (DBA / former)
- Doing business as
- Great Lakes Dental Solutions
Registry dates
- Enumerated
- 2014-11-23
- Last updated
- 2014-12-16
Frequently asked questions
- What is Great Lakes Dental P.C.'s NPI number?
- Great Lakes Dental P.C.'s National Provider Identifier (NPI) is 1447657234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dental P.C.?
- Great Lakes Dental P.C. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Dental P.C. located?
- Great Lakes Dental P.C.'s practice location on file with NPPES is 1418 S Milwaukee Ave, Libertyville, IL 60048-3796.
- What is Great Lakes Dental P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dental P.C. is (815) 209-6272.
- Who is the authorized official for Great Lakes Dental P.C.?
- The authorized official listed on Great Lakes Dental P.C.'s NPPES record is Anshuman Soni, President / Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dental P.C.'s NPI active?
- Yes — Great Lakes Dental P.C.'s NPI (1447657234) is active in the NPPES registry as of the last update on 2014-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.