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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.

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Contact Information

LIFETIME DENTAL CARE OF ILLINOIS, PC
411 KEOKUK STREET
LINCOLN, IL  62656
 Phone: 217-732-8818
 Fax: 217-732-9703
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

General Practice

 1223G0001X
Indicates primary specialty

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

NPI # 1720290638
LBN Legal business name LIFETIME DENTAL CARE OF ILLINOIS, PC
Authorized official AMY KROEGER - (INS COOD)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/04/2007
Last updated 05/21/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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