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JERSEYVILLE DENTAL GROUP LLC
NPI 1386414290
Dentist in Jerseyville, IL

Active since January 03, 2024
105 S STATE ST, JERSEYVILLE, IL 62052(618) 498-5822(618) 498-5822 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerseyville Dental Group Llc NPPES

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

JERSEYVILLE DENTAL GROUP LLC (NPI 1386414290) is a healthcare organization registered as a dentist in Jerseyville, Illinois and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Jerseyville and lists Diana Lifritz, Director Of Operations/acquisitions, as its authorized official.

NPPES Registry Identity

NPI1386414290
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJERSEYVILLE DENTAL GROUP LLC
Location Address105 S STATE STJerseyville, IL 62052-1850
Mailing Address105 S State StJerseyville, IL 62052-1850 · (618) 498-5822 · Fax (618) 498-5822
Phone(618) 498-5822
Fax(618) 498-5822
Organization SubpartNo
Authorized OfficialDiana LifritzDirector Of Operations/acquisitions · (618) 873-7500
Enumeration DateJanuary 3, 2024
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1386414290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
105 S STATE ST, Jerseyville, IL 62052
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Secondary Practice Location 1

Location 1308 S Washington StJerseyville, IL 62052-1672 · Phone (618) 498-3621

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.

SWEENEY & TOPPMEYER DENTISTRY
Dentist
105 S STATE ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-5822

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 Jerseyville Dental Group LLC's NPI number?

The NPI number for Jerseyville Dental Group LLC is 1386414290. It was assigned to this organization in the NPPES registry on January 3, 2024.

Where is Jerseyville Dental Group LLC located?

Jerseyville Dental Group LLC is located at 105 S State St, Jerseyville, IL 62052. The listed phone number is (618) 498-5822.

What is Jerseyville Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jerseyville Dental Group LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.