DENTAL GROUP OF BLOOMINGTON
NPI 1265654412
Dentist - General Practice in Bloomington, IL

Q: What is Lifetime Dental Care Of Illinois, PC's NPI number?

The NPI number for Lifetime Dental Care Of Illinois, PC is 1265654412. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Dental Group Of Bloomington.

Q: What is Lifetime Dental Care Of Illinois, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 03, 2007

1507 NORTH VETERANS PARKWAY, BLOOMINGTON, IL 61704(309) 664-6666(309) 662-0252 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dental Group Of Bloomington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL GROUP OF BLOOMINGTON (NPI 1265654412) is a healthcare organization registered as a general practice in Bloomington, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1265654412

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC

Location Address1507 NORTH VETERANS PARKWAYBloomington, IL 61704

Mailing Address1507 North Veterans ParkwayBloomington, IL 61704 · (309) 664-6666 · Fax (309) 662-0252

Phone(309) 664-6666

Fax(309) 662-0252

Organization SubpartNo

Authorized OfficialAmy KroegerIns Cood · (217) 540-5100

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1265654412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

1507 NORTH VETERANS PARKWAY, Bloomington, IL 61704

Open in Google Maps ↗

Other Names 1

Doing Business AsDental Group Of Bloomington

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFFORDABLE DENTISTRY TODAY, PC

Dentist (General Practice)

1507 NORTH VETERANS PARKWAY, SUITE 2
BLOOMINGTON, IL 61704

McLean County (309) 664-5033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifetime Dental Care Of Illinois, PC's NPI number?

The NPI number for Lifetime Dental Care Of Illinois, PC is 1265654412. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Dental Group Of Bloomington.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 1507 North Veterans Parkway, Bloomington, IL 61704. The listed phone number is (309) 664-6666.

What is Lifetime Dental Care Of Illinois, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lifetime Dental Care Of Illinois, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.