Organization · Type 2 NPI
Lifetime Dental Care of Illinois, PC
General Practice Dentistry · Macomb, IL
NPI number
1396967741
Active
Practice location
1200 W Jackson
Macomb, IL 61455
Fax (309) 836-6119
Mailing address
1200 W Jackson St Ste 5
Macomb, IL 61455-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None 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.
Other general practice dentistry providers in Macomb
About NPI 1396967741
Lifetime Dental Care of Illinois, PC's National Provider Identifier is 1396967741, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Macomb, IL. The record was last updated on Oct 13, 2025.