LIFETIME DENTAL CARE OF ILLINOIS PC NPI 1689887952

NPI Information

LIFETIME DENTAL CARE OF ILLINOIS, PC is a general practice dentist in Springfield, IL. The provider is 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. LIFETIME DENTAL CARE OF ILLINOIS, PC NPI is 1689887952. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Side Dental Group.

The provider's business location address is:

2633 CHATHAM ROAD
SUITE A
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-8777
Fax: (217) 698-8787

The provider's authorized official is Amy Kroeger .
The authorized official title is Ins Cood and has the following contact phone number (217) 540-5100.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.