What is Lifetime Dental Care of Illinois, PC's NPI number?

Lifetime Dental Care of Illinois, PC's National Provider Identifier (NPI) is 1396967741, 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 1200 W Jackson, Macomb, IL 61455.

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 (309) 836-6688.

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 (1396967741) is active in the NPPES registry as of the last update on 2025-10-13.

OrganizationActive

Lifetime Dental Care of Illinois, PC

NPI 1396967741 · General Practice Dentistry · Macomb, IL

Lifetime Dental Care of Illinois, PC is a General Practice Dentistry organization in Macomb, IL (NPI 1396967741).

Provider details

NPI number: 1396967741
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Amy Kroeger, Ins Cood(217) 540-5100

Practice location

1200 W Jackson

Macomb, IL 61455

Phone: (309) 836-6688

Fax: (309) 836-6119

Street-level locationGet directions

More IL providers

Mailing address

1200 W Jackson St Ste 5

Macomb, IL 61455-1175

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Other names (DBA / former)

Doing business as: Macomb Dental Center

Profile Score

Detailed profile(90/100 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.

Enumerated: 2007-05-03
Last updated: 2025-10-13
Certified: 2025-10-13

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 1396967741, 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 1200 W Jackson, Macomb, IL 61455.
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 (309) 836-6688.
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 (1396967741) is active in the NPPES registry as of the last update on 2025-10-13.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions