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WILLOW KNOLLS FAMILY DENTAL
NPI 1487866919
Dentist - General Practice in Peoria, IL

Active since May 04, 2007
7310 N. VILLA LAKE DRIVE, SUITE B, PEORIA, IL 61614(309) 691-9072(309) 691-9432 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Knolls Family Dental NPPES

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

WILLOW KNOLLS FAMILY DENTAL (NPI 1487866919) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1487866919
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC
Location Address7310 N. VILLA LAKE DRIVE, SUITE BPeoria, IL 61614
Mailing Address7310 N. Villa Lake Drive, Suite BPeoria, IL 61614 · (309) 691-9072 · Fax (309) 691-9432
Phone(309) 691-9072
Fax(309) 691-9432
Organization SubpartYes
Authorized OfficialAmy KroegerIns Cood · (217) 540-5100
Enumeration DateMay 4, 2007
Last NPPES UpdateMay 21, 2008
✔ NPI 1487866919 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.
7310 N. VILLA LAKE DRIVE, Peoria, IL 61614
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Other Names 1

Doing Business AsWillow Knolls Family Dental

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 UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Dentist (General Practice)
7310 N. VILLA LAKE DRIVE, SUITE A
PEORIA, IL 61614
Peoria County (309) 689-0746

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 1487866919. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Willow Knolls Family Dental.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 7310 N. Villa Lake Drive Suite B, Peoria, IL 61614. The listed phone number is (309) 691-9072.

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 UnitedHealthcare 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 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.