OrganizationActive
Lifetime Dental Care of Illinois, PC
NPI 1679731145 · General Practice Dentistry · Effingham, IL
Provider details
- NPI number
- 1679731145
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amy Kroeger, Insurance Coordinator(217) 540-5100
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1200 Network Centre Dr
Effingham, IL 62401-4637
Phone: (217) 540-5100
Fax: (877) 635-3298
Street-level locationGet directions
Mailing address
1200 Network Centre Dr
Effingham, IL 62401-4637
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2008-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.