NPIMap

Organization Active NPI

Lockport Dental Group, LTD

  • Dentist
  • Lockport, IL
National Provider Identifier
1568467702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LOCKPORT DENTAL GROUP, LTD
Practice address
230 E 8TH St
Ste 5
Lockport, IL 60441-3081
Phone
(815) 838-6102
Fax
(815) 838-6281
NPI assigned
Jun 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis L Sluski, DDS
Title
President
Phone
(815) 838-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

230 E 8TH St
Ste 5
Lockport, IL 60441-3081

Mailing address

230 E 8TH St
Ste 5
Lockport, IL 60441-3081
Phone (815) 838-6102

National Provider Directory

National Provider Directory

Locations

230 E 8th St
Ste 5
Lockport, IL 60441
Phone (815) 838-6102

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568467702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 8TH ST",
            "address_2": "STE 5",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413081",
            "telephone_number": "815-838-6102",
            "fax_number": "815-838-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 8TH ST",
            "address_2": "STE 5",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413081",
            "telephone_number": "815-838-6102",
            "fax_number": "815-838-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKPORT DENTAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLUSKI",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-838-6102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.