Charles F Lockhart, DDS
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1457579682
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1457579682
- Entity type
- Individual (NPI-1)
- Name
- Charles F Lockhart
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Certification date
- Mar 24, 2022
- Last updated
- Mar 24, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19014618 | IL | Yes |
Practice location
4748 N Milwaukee AveSte 1
Chicago, IL 60630-3629
Phone 773-685-9339 · Fax 773-685-6202
Mailing address
4748 N Milwaukee AveSte 1
Chicago, IL 60630-3629
Phone 773-685-9339 · Fax 773-685-6202
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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