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GREEN MOUNT FAMILY DENTISTRY
NPI 1376756635
Dentist - General Practice in Ofallon, IL

Active since May 07, 2007
1490 NORTH GREENMOUNT ROAD, SUITE A, OFALLON, IL 62269(618) 622-9720(618) 622-1700 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Green Mount Family Dentistry NPPES

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

GREEN MOUNT FAMILY DENTISTRY (NPI 1376756635) is a healthcare organization registered as a general practice in Ofallon, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1376756635
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC
Location Address1490 NORTH GREENMOUNT ROAD, SUITE AOfallon, IL 62269
Mailing Address1490 North Greenmount Road, Suite AOfallon, IL 62269 · (618) 622-9720 · Fax (618) 622-1700
Phone(618) 622-9720
Fax(618) 622-1700
Organization SubpartYes
Authorized OfficialAmy KroegerIns Cood · (217) 540-5100
Enumeration DateMay 7, 2007
Last NPPES UpdateMay 21, 2008
✔ NPI 1376756635 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.
1490 NORTH GREENMOUNT ROAD, Ofallon, IL 62269
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Other Names 1

Doing Business AsGreen Mount Family Dentistry

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.

LIFETIME DENTAL CARE OF ILLINOIS, PC
Dentist (General Practice)
1490 NORTH GREENMOUNT ROAD, SUITE B
OFALLON, IL 62269
St. Clair County (618) 632-1603

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 1376756635. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Green Mount Family Dentistry.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 1490 North Greenmount Road Suite A, Ofallon, IL 62269. The listed phone number is (618) 622-9720.

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 May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.