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CHAMPAIGN DENTAL GROUP
NPI 1376765776
Dentist - General Practice in Champaign, IL

Active since May 03, 2007
703B S NEIL, CHAMPAIGN, IL 61820(217) 398-2244(217) 398-9188 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Champaign Dental Group NPPES

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

CHAMPAIGN DENTAL GROUP (NPI 1376765776) is a healthcare organization registered as a general practice in Champaign, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1376765776
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC
Location Address703B S NEILChampaign, IL 61820
Mailing Address703b S NeilChampaign, IL 61820 · (217) 398-2244 · Fax (217) 398-9188
Phone(217) 398-2244
Fax(217) 398-9188
Organization SubpartNo
Authorized OfficialAmy KroegerIns Cood · (217) 540-5100
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376765776 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.
703B S NEIL, Champaign, IL 61820
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Other Names 1

Doing Business AsChampaign Dental Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 1376765776. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Champaign Dental Group.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 703B S Neil, Champaign, IL 61820. The listed phone number is (217) 398-2244.

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.

What insurance does Lifetime Dental Care Of Illinois, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lifetime Dental Care Of Illinois, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.