Organization
LAKEMOOR DENTAL OF HAINESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY SAVAGE (MANAGER)
(847) 978-6441
Entity
Organization
Contact information
Practice address
80 E BELVIDERE RD, HAINESVILLE, IL 60030-1040
(847) 986-6300
Mailing address
2022 N RICHMOND RD, MCHENRY, IL 60051-5419
(847) 978-6441
(779) 704-5953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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