THE DENTAL GROUP OF MT. VERNON
NPI 1417179755
Dentist - General Practice in Mt. Vernon, IL

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

The NPI number for Lifetime Dental Care Of Illinois, PC is 1417179755. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as The Dental Group Of Mt. Vernon.

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

713 S. 42ND STREET, MT. VERNON, IL 62864(618) 244-9666(618) 244-9986 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About The Dental Group Of Mt. Vernon NPPES

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

THE DENTAL GROUP OF MT. VERNON (NPI 1417179755) is a healthcare organization registered as a general practice in Mt. Vernon, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1417179755

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC

Location Address713 S. 42ND STREETMt. Vernon, IL 62864

Mailing Address713 S. 42nd StreetMt. Vernon, IL 62864 · (618) 244-9666 · Fax (618) 244-9986

Phone(618) 244-9666

Fax(618) 244-9986

Organization SubpartNo

Authorized OfficialAmy KroegerIns Cood · (217) 540-5100

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417179755 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.

713 S. 42ND STREET, Mt. Vernon, IL 62864

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Other Names 1

Doing Business AsThe Dental Group Of Mt. Vernon

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

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 1417179755. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as The Dental Group Of Mt. Vernon.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 713 S. 42nd Street, Mt. Vernon, IL 62864. The listed phone number is (618) 244-9666.

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 6 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.