WEST SIDE DENTAL GROUP
NPI 1689887952
Dentist - General Practice in Springfield, IL

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

The NPI number for Lifetime Dental Care Of Illinois, PC is 1689887952. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as West Side Dental Group.

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 07, 2007

2633 CHATHAM ROAD, SUITE A, SPRINGFIELD, IL 62704(217) 698-8777(217) 698-8787 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About West Side Dental Group NPPES

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

WEST SIDE DENTAL GROUP (NPI 1689887952) is a healthcare organization registered as a general practice in Springfield, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1689887952

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC

Location Address2633 CHATHAM ROAD, SUITE ASpringfield, IL 62704

Mailing Address2633 Chatham Road, Suite ASpringfield, IL 62704 · (217) 698-8777 · Fax (217) 698-8787

Phone(217) 698-8777

Fax(217) 698-8787

Organization SubpartNo

Authorized OfficialAmy KroegerIns Cood · (217) 540-5100

Enumeration DateMay 7, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1689887952 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.

2633 CHATHAM ROAD, Springfield, IL 62704

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Other Names 1

Doing Business AsWest Side 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

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 1689887952. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as West Side Dental Group.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 2633 Chatham Road Suite A, Springfield, IL 62704. The listed phone number is (217) 698-8777.

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 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.