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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFETIME DENTAL CARE OF ILLINOIS, PC

Active Organization

LIFETIME DENTAL CARE OF ILLINOIS, PC is a General Dentistry organization located in BLOOMINGTON, Illinois. NPI 1265654412 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BLOOMINGTON, IL

Registration Details

NPI Number
1265654412
Provider Type
Organization
NPI Issued
May 3, 2007 (19.287953811323 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
1507 NORTH VETERANS PARKWAY
BLOOMINGTON, IL, 61704
Browse IL providers · Browse ZIP 61704
Phone
3096646666
Fax
3096620252
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.