| Randall Ridge Dental | |
|
700 S. Randall Rd. Suite #1 St. Charles IL 60174 | |
| (630) 587-2600 | |
| (630) 587-2605 |
| Full Name | Randall Ridge Dental |
|---|---|
| Speciality | Dentist |
| Location | 700 S. Randall Rd., St. Charles, Illinois |
| Authorized Official Name and Position | Bryan R. Cichon (OWNER/DENTIST) |
| Authorized Official Contact | 6305872600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Ridge Dental 700 S. Randall Rd. Suite #1 St. Charles IL 60174 Ph: (630) 587-2600 | Randall Ridge Dental 700 S. Randall Rd. Suite #1 St. Charles IL 60174 Ph: (630) 587-2600 |
| NPI Number | 1114261427 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114261427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-023433 (Illinois) | Primary |
Teuscher Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 W 320 Lafox Road, Suite D, St. Charles, IL 60175 Phone: 630-762-0000 | |
Smiles4u Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001. E. Main St, Suite F, St. Charles, IL 60174 Phone: 630-513-5500 Fax: 630-513-5501 | |
St. Charles Lifetime Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 South Randall Road, Unit #110, St. Charles, IL 60174 Phone: 630-443-6635 Fax: 630-443-6637 |