Willow Knolls Family Dental

LBN: Lifetime Dental Care Of Illinois, Pc
Willow Knolls Family Dental is an health care organization with primary practice located at 7310 N. Villa Lake Drive Suite B, Peoria IL 61614. 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 (309) 691-9072, or through Kroeger, Amy via phone (217) 540-5100.

Contact Information

Primary practice address
7310 N. Villa Lake Drive Suite B Peoria IL 61614
Phone: (309) 691-9072
Fax: (309) 691-9432
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 1487866919
LBN Legal business name Lifetime Dental Care Of Illinois, Pc
DBA Doing business as Willow Knolls Family Dental
Authorized official Kroeger, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date May 4th, 2007
Last updated May 21st, 2008 - about 16 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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