Lifetime Dental Care of Illinois, PC

NPI #1396967741 in Macomb, Illinois

Provider Information

NPI Number
1396967741
Entity Type
Organization
Organization Name
Lifetime Dental Care of Illinois, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 3, 2007
Last Updated
Oct 13, 2025

Practice Location

Address
1200 W JACKSON
City
Macomb
ZIP Code
61455
Phone
(309) 836-6688

Authorized Official

Name
AMY KROEGER
Title
INS COOD
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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