Michael Lee Primack, D.D.S.
General Practice Dentistry · Lake Forest, IL
Practice location
860 Waveland RdLake Forest, IL 60045-3944
- Phone
- (847) 234-2416
NPI record
- NPI
- 1710095542
- Entity type
- Individual (Type 1)
- Enumeration date
- August 29, 2006
- Last updated
- February 5, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019-013904 | IL |
About Dr. Primack
Michael Lee Primack, 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 860 Waveland Rd, Lake Forest, IL 60045-3944. The NPI number 1710095542 was assigned on August 29, 2006 and the record was last updated on February 5, 2009.
Dr. Primack lists a license in the registry: #019-013904 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Lee Primack, D.D.S.?
The NPI number is 1710095542.
What is the phone number of Dr. Primack?
The phone number listed for the practice location is (847) 234-2416.
Where is Dr. Primack located?
860 Waveland Rd, Lake Forest, IL 60045-3944.
What is the taxonomy code for Dr. Primack?
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.
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