Lake Cook Dental Center P C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019025184 Issued in IL

Legal business name

LAKE COOK DENTAL CENTER P C

Practice address

1207 McHenry Road
Suite 215
Buffalo Grove, IL 60089-1371

Phone

(847) 955-2331

Fax

(847) 955-2332

NPI assigned

Feb 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rosanna Miranda Lesniak, D.D.S.

Title

President

Phone

(847) 955-2331

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1003085465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 MCHENRY RD",
            "address_2": "SUITE 215",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891371",
            "telephone_number": "847-955-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 MCHENRY ROAD",
            "address_2": "SUITE 215",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891371",
            "telephone_number": "847-955-2331",
            "fax_number": "847-955-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COOK DENTAL CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "LESNIAK",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-955-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn D. Kumra, CRNA
• Lidiya Kupriyenko, MD
• Natalya Kvaterman, PHYSICAL THERAPIST
• Myron Laban
• Brittany Lacursia
• Lake County Acute Care, LLP
• Lakeside Psychological Services
• Sabika Lakhani, OD
• Lang Home Medical Equipment Inc
• Carl R Lang, M.D.

• Dental Clinic/Center in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.