Jacob G. Groselak, DMD
General Dentistry · Lemont, IL
UnclaimedDMDNPI 1871136085
- Primary taxonomy
- 122300000X
- Enumerated
- 2019-10-21
- Practice location
- Lemont, IL
- Last NPPES update
- 2019-10-21
State licenses
- IL · Dentist · LICENSED DENTISTActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.