IndividualActive
James Fondriest, D.D.S.
NPI 1902004914 · Prosthodontics · Lake Forest, IL
Provider details
- NPI number
- 1902004914
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
560 Oakwood Ave
Suite 200
Lake Forest, IL 60045-1972
Phone: (847) 234-0517
Approximate (ZIP-level) locationGet directions
Mailing address
560 Oakwood Ave
Lake Forest, IL 60045-1972
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.