Jacob S Lake Dds Ltd is a Dental Clinic in Buffalo Grove, Illinois. It is located at 15 E Dundee Rd, Buffalo Grove, IL and its contact number is 847-229-1700. The authorized person for Jacob S Lake Dds Ltd is Jacob S Lake
who is Owner of the clinic and their contact number is 847-229-1700. Other organizations associated with this clinic are Jacob S Lake Dds Ltd, Yevgen Tkachuk Dds Pc, Michael Gelb Dds, The primary license number for Jacob S Lake Dds Ltd is 019016208 (General Practice) in Illinois.
Jacob S Lake Dds Ltd Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jacob S Lake Dds Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jacob S Lake Dds Ltd |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 15 E Dundee Rd, Buffalo Grove,
Illinois, 60089-4383 |
| Phone: | 847-229-1700 |
| Fax: | 847-229-1737 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jacob S Lake |
| Position: | Owner |
| Contact Number: | 847-229-1700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jacob S Lake Dds Ltd clinic are as mentioned below.
| NPI Number: | 1134389208 |
| NPI Enumeration Date: | 12 Jun, 2008 |
| NPI Last Update On: | 30 Dec, 2011 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Jacob S Lake Dds Ltd | General Practice Dentistry | 1134389208 |
| Yevgen Tkachuk Dds Pc | General Practice Dentistry | 1154872174 |
| Michael Gelb Dds | Dentistry | 1881920536 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob S Lake Dds Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 019016208 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 197950 | Medicaid | Illinois | |
| 105621 | Medicaid | Illinois | |
| 104857 | Medicaid | Illinois | |
| 109096 | Medicaid | Illinois | |
| 105622 | Medicaid | Illinois | |
| 105875 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacob S Lake Dds Ltd
15 E. Dundee Rd,
Buffalo Grove, Illinois |
| Zip: | 60089 |
| Phone Number: | 847-229-1700 |
| Fax Number: | 847-229-1737 |
Patients can reach Jacob S Lake Dds Ltd at
15 E Dundee Rd, Buffalo Grove, Illinois or can
call to book an appointment on 847-229-1700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.