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

Lifetime Dental Care of Illinois, PC

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

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

National Provider Identifier

1376756635

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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 1490 North Greenmount Road, Suite A, Ofallon, IL, 62269

Phone (618) 622-9720

Fax (618) 622-1700

Enumeration date May 7, 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

Phone (217) 540-5100

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-21. Verify at npiregistry.cms.hhs.gov.

Where is Lifetime Dental Care of Illinois, PC located?

The practice location on file with NPPES is in Ofallon, IL.

Providers at this address

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Lifetime Dental Care of Illinois, PC General Practice Dentistry · Ofallon, IL NPI 1851513238

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