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DENTAL GROUP OF SPRINGFIELD
NPI 1700099066
Dentist - General Practice in Springfield, IL

Active since May 07, 2007
2701 S KOKE MILL RD, SPRINGFIELD, IL 62711(217) 793-8899(217) 793-9662 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Dental Group Of Springfield NPPES

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

DENTAL GROUP OF SPRINGFIELD (NPI 1700099066) is a healthcare organization registered as a general practice in Springfield, Illinois and active in the NPI registry since May 2007. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1700099066
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC
Location Address2701 S KOKE MILL RDSpringfield, IL 62711-8194
Mailing Address2701 S Koke Mill RdSpringfield, IL 62711-8194 · (217) 793-8899 · Fax (217) 793-9662
Phone(217) 793-8899
Fax(217) 793-9662
Organization SubpartNo
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1700099066 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.
2701 S KOKE MILL RD, Springfield, IL 62711
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Other Names 1

Doing Business AsDental Group Of Springfield

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 Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 2

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

WILLIAM AUGUST BLOINK IV
Dentist
2701 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 793-8899
BENJAMIN DOUGLAS LABBE DDS
Dentist (General Practice)
2701 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 793-8899

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 1700099066. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Dental Group Of Springfield.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 2701 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 793-8899.

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 Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.