Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

INNOVATION DENTAL AND IMPLANT LLC
NPI 1932029907
Dentist in O Fallon, IL

Q: What is Innovation Dental And Implant LLC's NPI number?

The NPI number for Innovation Dental And Implant LLC is 1932029907. It was assigned to this organization in the NPPES registry on July 20, 2026.

Q: What is Innovation Dental And Implant LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 20, 2026

717 INSIGHT AVE, O FALLON, IL 62269(618) 277-6550 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Innovation Dental And Implant Llc NPPES

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

INNOVATION DENTAL AND IMPLANT LLC (NPI 1932029907) is a healthcare organization registered as a dentist in O Fallon, Illinois and active in the NPI registry since July 2026. The organization lists Diana Lifritz, Director Of Human Resources, as its authorized official.

NPPES Registry Identity

NPI1932029907

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameINNOVATION DENTAL AND IMPLANT LLC

Location Address717 INSIGHT AVEO Fallon, IL 62269-2151

Mailing Address1922 Edwardsville Club Plaza CtEdwardsville, IL 62025-3717 · (618) 277-6550

Phone(618) 277-6550

Organization SubpartNo

Authorized OfficialDiana LifritzDirector Of Human Resources · (618) 873-7500

Enumeration DateJuly 20, 2026

NPPES CertifiedJuly 19, 2026

✔ NPI 1932029907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

717 INSIGHT AVE, O Fallon, IL 62269

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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

Other Providers at the Same Location NPPES 3

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

DEER RUN DENTAL, PC

Dentist (General Practice)

717 INSIGHT AVE, SUITE 200
O'FALLON, IL 62269

St. Clair County (618) 277-6550

DR. CHRISTOPHER JAMES ANDERSON DPM

Podiatrist (Foot Surgery)

717 INSIGHT AVE, SUITE 100
O'FALLON, IL 62269

St. Clair County (618) 277-9533

NATALIE MOTA DPM

Podiatrist (Foot & Ankle Surgery)

717 INSIGHT AVE, SUITE 100
O'FALLON, IL 62269

St. Clair County (618) 277-9533

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 Innovation Dental And Implant LLC's NPI number?

The NPI number for Innovation Dental And Implant LLC is 1932029907. It was assigned to this organization in the NPPES registry on July 20, 2026.

Where is Innovation Dental And Implant LLC located?

Innovation Dental And Implant LLC is located at 717 Insight Ave, O Fallon, IL 62269. The listed phone number is (618) 277-6550.

What is Innovation Dental And Implant LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Innovation Dental And Implant LLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.