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 1417179755

Lifetime Dental Care of Illinois, PC is a General Practice Dentistry in Mt Vernon, 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

713 S 42nd St
Mt Vernon, IL 62864
Phone: (618) 244-9666
Fax: (618) 244-9986
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 number1417179755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names The Dental Group Of Mt. Vernon
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address713 S. 42nd Street, Mt. Vernon, IL 62864