Northshore Metropolitan Dental Associates Inc
NPI 1174651459ActiveOrganization· Dentist, General Practice· Gurnee, IL
Dentist, General Practice in Gurnee, Illinois, registered in NPPES in March 2007. The authorized official on file is Victor Ka-Tai Lau, D.D.S., President.
Overview
| NPI | 1174651459 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2007 |
| Last updated in NPPES | Aug 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019025154 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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