Bruce Alan Lacoste, D.D.S.

General Practice Dentistry · Kankakee, IL

Individual Active NPI

NPI number 1689792012

Practice location

555 W Court St
Suite #102
Kankakee, IL 60901-3664
Phone
(815) 932-3822
Fax
(815) 937-3524

Open in Google Maps

NPI record

NPI
1689792012
Entity type
Individual (Type 1)
Enumeration date
March 26, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Lacoste

Bruce Alan Lacoste, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 555 W Court St, Suite #102, Kankakee, IL 60901-3664. The NPI number 1689792012 was assigned on March 26, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Bruce Alan Lacoste, D.D.S.?

The NPI number is 1689792012.

What is the phone number of Dr. Lacoste?

The phone number listed for the practice location is (815) 932-3822.

Where is Dr. Lacoste located?

555 W Court St, Suite #102, Kankakee, IL 60901-3664.

What is the taxonomy code for Dr. Lacoste?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Kankakee

All General Practice Dentistry providers in Kankakee, IL →