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

Lifetime Dental Care of Illinois, PC

Organization General Practice Dentistry · NPI 1265654412

Lifetime Dental Care of Illinois, PC is a General Practice Dentistry in Bloomington, Illinois. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1507 N Veterans Pkwy
Bloomington, IL 61704
Phone: (309) 664-6666
Fax: (309) 662-0252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1265654412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names Dental Group Of Bloomington
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1507 North Veterans Parkway, Bloomington, IL 61704

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