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 1265654412

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

1507 N Veterans Pkwy
Bloomington, IL 61704
Phone: (309) 664-6666
Fax: (309) 662-0252
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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 number1265654412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names Dental Group Of Bloomington
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1507 North Veterans Parkway, Bloomington, IL 61704

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