The Dental Group Of Mt. Vernon

LBN: Lifetime Dental Care Of Illinois, Pc
The Dental Group Of Mt. Vernon is an health care organization with primary practice located at 713 S. 42Nd Street , Mt. Vernon IL 62864. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lifetime Dental Care Of Illinois, Pc can be contacted via phone (618) 244-9666, or through Kroeger, Amy via phone (217) 540-5100.

Contact Information

Primary practice address
713 S. 42Nd Street Mt. Vernon IL 62864
Phone: (618) 244-9666
Fax: (618) 244-9986
Website:
Map and Directions
Authorized official contact:
Name: Kroeger, Amy
Phone: (217) 540-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1417179755
LBN Legal business name Lifetime Dental Care Of Illinois, Pc
DBA Doing business as The Dental Group Of Mt. Vernon
Authorized official Kroeger, Amy
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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