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

Lifetime Dental Care of Illinois, PC

Organization General Practice Dentistry · NPI 1376756635

Lifetime Dental Care of Illinois, PC is a General Practice Dentistry in Ofallon, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1490 N Greenmount Rd Ste A
Ofallon, IL 62269
Phone: (618) 622-9720
Fax: (618) 622-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1376756635
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifetime Dental Care of Illinois, PC
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names Green Mount Family Dentistry
NPI enumeratedMay 7, 2007
Last updated in NPPESMay 21, 2008
Mailing address1490 North Greenmount Road, Suite A, Ofallon, IL 62269

Other providers in Ofallon