Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerseyville Dental Group LLC

Organization Dentist · NPI 1386414290

Jerseyville Dental Group LLC is a Dentist in Jerseyville, Illinois. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 S State St
Jerseyville, IL 62052-1850
Phone: (618) 498-5822
Fax: (618) 498-5822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 308 S Washington St, Jerseyville, IL 62052-1672 — (618) 498-3621

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1386414290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Lifritz — Director Of Operations/Acquisitions · (618) 873-7500
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address105 S State St, Jerseyville, IL 62052-1850

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