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 1770705923

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

761 Main St NW Ste C
Bourbonnais, IL 60914
Phone: (815) 933-3377
Fax: (815) 933-6530
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 number1770705923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names Dental Group Of Bourbonnais
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address761 Main Street Nw, Suite C, Bourbonnais, IL 60914

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