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

Lifetime Dental Care of Illinois, PC

Organization General Practice Dentistry · NPI 1396967741

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

1200 W Jackson
Macomb, IL 61455
Phone: (309) 836-6688
Fax: (309) 836-6119
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 number1396967741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names Macomb Dental Center
NPI enumeratedMay 3, 2007
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address1200 W Jackson St Ste 5, Macomb, IL 61455-1175

Other providers in Macomb