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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Lifetime Dental Care of Illinois, PC

General Practice Dentistry in Fairview Heights, IL · enumerated 2007 · authorized official Amy Kroeger, Ins Cood.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053533372

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Registry record

Entity type Organization (Type 2)
Legal business name Lifetime Dental Care of Illinois, PC
Other name <Unavail>
Parent organization Lifetime Dental Care of Illinois, PC
Practice address 5953 North Illinois Street, Fairview Heights, IL, 62208
Fax (618) 233-6701
Enumeration date May 3, 2007
Last updated in NPPES May 21, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Amy Kroeger
Title Ins Cood

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lifetime Dental Care of Illinois, PC?
The NPI for Lifetime Dental Care of Illinois, PC is 1053533372, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lifetime Dental Care of Illinois, PC?
NPPES lists Amy Kroeger (Ins Cood) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-21.