LIFETIME DENTAL CARE OF ILLINOIS, PC


Address: 2943 W White Oaks Drive, Springfield, IL 62704
Phone: 2177938899

LIFETIME DENTAL CARE OF ILLINOIS, PC (NPI# 1700099066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700099066
Entity Type Organization
Organization Name LIFETIME DENTAL CARE OF ILLINOIS, PC
Other Organization Name DENTAL GROUP OF SPRINGFIELD
Practice Address 2943 W White Oaks Drive
Springfield
IL 62704
Practice Telephone 2177938899
Practice Fax Number 2177939662
Mailing Telephone 2177938899
Mailing Fax Number 2177939662
Enumeration Date 2007-05-07
Last Update Date 2020-08-22
Authorized Official Name AMY KROEGER (INS COOD)
Authorized Official Telephone 2175405100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Dental Group of Springfield Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487867750 Lifetime Dental Care of Illinois, PC Dentist 1366 E Main, Carbondale, IL 62901 2007-05-07
1689887952 Lifetime Dental Care of Illinois, PC Dentist 2633 Chatham Road, Suite A, Springfield, IL 62704 2007-05-07
1659583656 Lifetime Dental Care of Illinois, PC Dentist 700 N Keller, Effingham, IL 62401 2007-05-04
1720290638 Lifetime Dental Care of Illinois, PC Dentist 411 Keokuk Street, Lincoln, IL 62656 2007-05-04
1487866919 Lifetime Dental Care of Illinois, PC Dentist 7310 N. Villa Lake Drive, Suite B, Peoria, IL 61614 2007-05-04
1023230281 Lifetime Dental Care of Illinois, PC Dentist 1001 E Main, Carbondale, IL 62901 2007-05-03
1376765776 Lifetime Dental Care of Illinois, PC Dentist 703b S Neil, Champaign, IL 61820 2007-05-03
1396967741 Lifetime Dental Care of Illinois, PC Dentist 1200 W Jackson, Macomb, IL 61455 2007-05-03
1801018270 Lifetime Dental Care of Illinois, PC Dentist 907 W Marketview, Unit 11, Champaign, IL 61822 2007-05-03
1801018197 Lifetime Dental Care of Illinois, PC Dentist 2707 Sycamore Road, Dekalb, IL 60115 2007-05-03

Office Location

Street Address 2943 W WHITE OAKS DRIVE
City SPRINGFIELD
State IL
Zip Code 62704

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
Find all providers in zip 62704

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356969034 Dental Professionals of Virginia, P.C. Dentist 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 2020-07-09
1336790609 Mahmoud Al Homsi Dentist 41 Taylor St. 4th Fl, Springfield, MA 01103 2019-09-26
1730734369 Taylor Eiford Dentist 200 N Fountain Ave, Springfield, OH 45504-2535 2019-08-09
1376198366 Cynthia Park Dentist 8328 Traford Ln Ste B, Springfield, VA 22152-1667 2019-08-06
1588225155 Mckenzie Dental Center Dentist 110 S. 59th St, Springfield, OR 97478 2019-06-25
1376100651 Haiping Sun Dentist 1705 E Primrose St, Springfield, MO 65804-4292 2019-05-22
1740845619 Patrick Greitzer Dentist 251 Hampton Pl, Springfield, OH 45503-2613 2019-05-07
1033674106 Tags Inc Dentist 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 2019-02-04
1366916272 Baines Dental, LLC Dentist 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 2019-01-14
1225502362 Liebentritt Family Dentistry Dentist 191 Main St., Springfield, NE 68059 2019-01-11
Find all providers in SPRINGFIELD

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 62704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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