Lifetime Family Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LIFETIME FAMILY DENTAL, P.C.

Practice address

1890 Silver Cross Blvd Ste 470
New Lenox, IL 60451-9528

Phone

(815) 717-8793

NPI assigned

Jan 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justina MockunasNPI 1942739024

Title

Owner

Phone

(561) 713-7812

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justina Mockunas

  • General Practice Dentistry
  • Plainfield, IL
  • NPI 1942739024
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1851006753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15309 S BUTTERCUP CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443156",
            "telephone_number": "708-263-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 470",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519528",
            "telephone_number": "815-717-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME FAMILY DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "MOCKUNAS",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-713-7812"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lendabarker, DNP
• Kirkeith Lertsburapa, M.D.
• Theresa Letsos
• Cynthia Lewis
• Laura Liden
• Lincoln-Way Chiropractic Clinic LLC
• Lincoln-Way High School District 210
• Lincolnway Medical Associates, P.C.
• Lincolnway Surgical Assistants L.L.C.
• Sonja Linde, RN

• Dental Clinic/Center in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.