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 1417179755

Lifetime Dental Care of Illinois, PC provides General Practice Dentistry in Mt Vernon, 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.

See every abbreviation used in this directory →

Practice location Address checks out

713 S 42nd St
Mt Vernon, IL 62864
Phone: (618) 244-9666
Fax: (618) 244-9986
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 number1417179755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Kroeger — Ins Cood · (217) 540-5100
Other names The Dental Group Of Mt. Vernon
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address713 S. 42nd Street, Mt. Vernon, IL 62864