| Lifetime Dental Care Of Illinois, Pc | |
|
5953 North Illinois Street Fairview Heights IL 62208 | |
| (618) 233-6700 | |
| (618) 233-6701 |
| Full Name | Lifetime Dental Care Of Illinois, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5953 North Illinois Street, Fairview Heights, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Illinois, Pc 5953 North Illinois Street Fairview Heights IL 62208 Ph: (618) 233-6700 | Lifetime Dental Care Of Illinois, Pc 5953 North Illinois Street Fairview Heights IL 62208 Ph: (618) 233-6700 |
| NPI Number | 1053533372 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053533372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ty Parker Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Fountains Pkwy Ste C, Fairview Heights, IL 62208 Phone: 618-622-1800 Fax: 618-622-0007 | |
Lakeland Hills Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5011 N Illinois, Suite 1, Fairview Heights, IL 62208 Phone: 618-222-1942 | |
John Rottschalk, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 959 Lincoln Hwy, Fairview Heights, IL 62208 Phone: 618-624-3838 | |
Robert J Mcdill D M D Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Canty Ln, Fairview Heights, IL 62208 Phone: 618-398-5770 | |
Howenstein Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10606 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-397-6727 | |
Richard S Chen Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Long Acre Drive, Fairview Heights, IL 62208 Phone: 618-234-6223 |