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UNIVERSITY PLACE DENTAL
NPI 1487867750
Dentist - General Practice in Carbondale, IL

Active since May 07, 2007
1366 E MAIN, CARBONDALE, IL 62901(618) 549-0208(618) 549-0182 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About University Place Dental NPPES

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

UNIVERSITY PLACE DENTAL (NPI 1487867750) is a healthcare organization registered as a general practice in Carbondale, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1487867750
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC
Location Address1366 E MAINCarbondale, IL 62901
Mailing Address1366 E MainCarbondale, IL 62901 · (618) 549-0208 · Fax (618) 549-0182
Phone(618) 549-0208
Fax(618) 549-0182
Organization SubpartYes
Authorized OfficialAmy KroegerIns Cood · (217) 540-5100
Enumeration DateMay 7, 2007
Last NPPES UpdateMay 21, 2008
✔ NPI 1487867750 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.
1366 E MAIN, Carbondale, IL 62901
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Other Names 1

Doing Business AsUniversity Place 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

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 1487867750. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as University Place Dental.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 1366 E Main, Carbondale, IL 62901. The listed phone number is (618) 549-0208.

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.