Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lifetime Dental Care of Illinois, PC

Organization General Practice Dentistry · NPI 1053533372

Lifetime Dental Care of Illinois, PC provides General Practice Dentistry in Fairview Heights, 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

5953 N Illinois St
Fairview Heights, IL 62208 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 233-6700
Fax: (618) 233-6701
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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 number1053533372
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifetime Dental Care of Illinois, PC
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names Smiles By Design
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 21, 2008
Mailing address5953 North Illinois Street, Fairview Heights, IL 62208

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