MEDICARE: LOCKPORT DENTAL GROUP, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1568467702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOCKPORT DENTAL GROUP, LTD

Provider Business Mailing Address
First Line	:	230 E 8TH ST
Second Line	:	STE 5
City	:	LOCKPORT
State	:	IL
Zip	:	60441-3081
Country	:	US
Telephone Number	:	815-838-6102
Fax Number	:	815-838-6281

Provider Business Practice Location Address
First Line	:	230 E 8TH ST
Second Line	:	STE 5
City	:	LOCKPORT
State	:	IL
Zip	:	60441-3081
Country	:	US
Telephone Number	:	815-838-6102
Fax Number	:	815-838-6281

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DENNIS L SLUSKI
Credential	:	DDS
Telephone Number	:	815-838-6102

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1902067143 — DR. JACK J. MITCHELL DDS
Practice Location Address:

230 E 8TH ST , SUITE #5
LOCKPORT, IL
60441-3081

Practice Phone: 815-838-6102
Practice Fax: 815-838-6281

1114188364 — DR. KATHRYN R. HARALDSON DDS
Practice Location Address:

230 E 8TH ST , SUITE #5
LOCKPORT, IL
60441-3081

Practice Phone: 815-838-6102
Practice Fax: 815-838-6281

1780845933 — DR. JEFFREY R. ONIK DMD
Practice Location Address:

230 E 8TH ST , SUITE #5
LOCKPORT, IL
60441-3081

Practice Phone: 815-838-6102
Practice Fax: 815-838-6281

1437310687 — DR. JAMES M. GERHARD DDS
Practice Location Address:

230 E 8TH ST , SUITE #5
LOCKPORT, IL
60441-3081

Practice Phone: 815-838-6102
Practice Fax: 815-838-6281

1699037424 — DR. GREGORY PAUL BOBAK DDS
Practice Location Address:

230 E 8TH ST , SUITE C
LOCKPORT, IL
60441-3081

Practice Phone: 815-838-6102
Practice Fax:

1083577035 — MARIAH ESPINELL
Practice Location Address:

1121 MICHAEL ST
LOCKPORT, IL
60441-3321

Practice Phone: 855-832-6727
Practice Fax:

Directions to “LOCKPORT DENTAL GROUP, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.