Lifetime Dental Care of Illinois, PC
NPI #1053533372 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1053533372
- Entity Type
- Organization
- Organization Name
- Lifetime Dental Care of Illinois, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFETIME DENTAL CARE OF ILLINOIS, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- May 21, 2008
Practice Location
- Address
- 5953 NORTH ILLINOIS STREET
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208
- Phone
- (618) 233-6700
Authorized Official
- Name
- AMY KROEGER
- Title
- INS COOD
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. John L. Rottschalk, DMD |  AI Deep Dive |
| DR. Michael J Howenstein, DMD | AI Deep Dive |
| Ty Parker, DMD | AI Deep Dive |
| DR. Robert J Mcdill, D.M.D | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Ty Parker Dmd PC | AI Deep Dive |
Want to research this healthcare provider further?
Try NewBizBot free