National Provider Identifier Database

LIFETIME DENTAL CARE OF ILLINOIS PC
General Practice

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.


Contact Information

LIFETIME DENTAL CARE OF ILLINOIS, PC
411 KEOKUK STREET
LINCOLN, IL62656
Phone: 217-732-8818
Fax: 217-732-9703
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for LIFETIME DENTAL CARE OF ILLINOIS, PC

NPI Number 1720290638
Legal business name
LBN
LIFETIME DENTAL CARE OF ILLINOIS, PC
Authorized official AMY KROEGER - (INS COOD)
Entity Organization
Organization subpart Yes
Enumeration date 05/04/2007
Last updated 05/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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