Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619692811 Individual Practitioner Male Practitioner

Matthew Lupsan

Dentist - General Practice • Waukegan, IL

Professional Overview & Biography Verified Profile Summary

Matthew Lupsan is a registered healthcare professional specializing in Dentist - General Practice in Waukegan, IL. Practice services are available at 2821 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2821 Grand Ave

Waukegan, IL 600852372

Telephone 8476624400
Associated Practice Facility / Clinic
🏢 Dental Experts, Llc Facility NPI 1245487792

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waukegan, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
40 Specialists

Practicing in Waukegan, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.034201

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Laimarie Alas Dorsey , DMD, MS

Dentist - General Practice

NPI 1225731532

Doctor of Dental Medicine, Master of Science

NPI 1336677665
NPI 1427502350

Doctor of Dental Medicine

NPI 1467730275
Dr. David Jeong , DDS

Dentist - General Practice

NPI 1639876428

Doctor of Dental Surgery

Ana Barajas Preciado

Dentist - General Practice

NPI 1649995630

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 17, 2026

Registered at 2821 GRAND AVE, WAUKEGAN, IL 600852372 (Tel: 8476624400)

📍
Updated Business Mailing Address July 17, 2026

Registered at 1461 S BLUE ISLAND AVE, CHICAGO, IL 606082282

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2026

Dentist (License #019.034201 in IL)

📍
Updated Practice Location May 24, 2023

Registered at 6560 W FULLERTON AVE UNIT C106, STE T, CHICAGO, IL 60707 (Tel: 7733856700)

NPI Profile Active October 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2022

Registered at 2537 W NORTH AVE, MELROSE PARK, IL 601601121 (Tel: 7083456400)

📍
Updated Business Mailing Address October 10, 2022

Registered at 16157 WHITE HAVEN DR, NORTHVILLE, MI 481682326

👤
Provider Name / Credentials Updated October 10, 2022

Recorded as MATTHEW LUPSAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619692811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2022
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

1461 S Blue Island Ave

Chicago, IL 606082282

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.