Organization · Type 2 NPI

Lifetime Dental Care of Illinois, PC

General Practice Dentistry · Fairview Heights, IL

NPI number 1053533372 Active

Practice location

5953 North Illinois Street
Fairview Heights, IL 62208

Fax (618) 233-6701

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1053533372

Lifetime Dental Care of Illinois, PC's National Provider Identifier is 1053533372, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairview Heights, IL. The record was last updated on May 21, 2008.