OrganizationActive
Lifetime Dental Care of Illinois, PC
NPI 1376756635 · General Practice Dentistry · Ofallon, IL
Lifetime Dental Care of Illinois, PC is a General Practice Dentistry organization in Ofallon, IL (NPI 1376756635).
Provider details
- NPI number
- 1376756635
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Lifetime Dental Care of Illinois, PC
- Organization subpart
- Yes
- Authorized official
- Amy Kroeger, Ins Cood(217) 540-5100
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1490 North Greenmount Road
Suite a
Ofallon, IL 62269
Phone: (618) 622-9720
Fax: (618) 622-1700
Street-level locationGet directions
Mailing address
1490 North Greenmount Road
Ofallon, IL 62269
Other names (DBA / former)
- Doing business as
- Green Mount Family Dentistry
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2008-05-21
Frequently asked questions
- What is Lifetime Dental Care of Illinois, PC's NPI number?
- Lifetime Dental Care of Illinois, PC's National Provider Identifier (NPI) is 1376756635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetime Dental Care of Illinois, PC?
- Lifetime Dental Care of Illinois, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lifetime Dental Care of Illinois, PC located?
- Lifetime Dental Care of Illinois, PC's practice location on file with NPPES is 1490 North Greenmount Road, Ofallon, IL 62269.
- What is Lifetime Dental Care of Illinois, PC's phone number?
- The practice phone number listed in the NPPES registry for Lifetime Dental Care of Illinois, PC is (618) 622-9720.
- Who is the authorized official for Lifetime Dental Care of Illinois, PC?
- The authorized official listed on Lifetime Dental Care of Illinois, PC's NPPES record is Amy Kroeger, Ins Cood. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetime Dental Care of Illinois, PC's NPI active?
- Yes — Lifetime Dental Care of Illinois, PC's NPI (1376756635) is active in the NPPES registry as of the last update on 2008-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.