| Randallwood Dental | |
|
1546 East Main St. St Charles IL 60174 | |
| (630) 377-0034 | |
| (630) 377-3877 |
| Full Name | Randallwood Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1546 East Main St., St Charles, Illinois |
| Authorized Official Name and Position | Rene Tanquilut (PRESIDENT / OWNER) |
| Authorized Official Contact | 6303770034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randallwood Dental 1546 East Main St. St Charles IL 60174 Ph: (630) 377-0034 | Randallwood Dental 1546 East Main St. St Charles IL 60174 Ph: (630) 377-0034 |
| NPI Number | 1093160715 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093160715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019023351 (Illinois) | Primary |
Robert W Overdorf Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S 2nd Ave, Suite 11, St Charles, IL 60174 Phone: 630-377-1200 | |
Teuscher Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40w320 Lafox Rd Ste D, St Charles, IL 60175 Phone: 630-762-0000 | |
St. Charles Family Dentristry L.t.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 E Main St, St Charles, IL 60174 Phone: 630-377-3131 | |
Dickens, Mason & Kissell Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2035 Foxfield Rd, Suite 103, St Charles, IL 60174 Phone: 630-584-5444 Fax: 630-584-5724 | |
St..charles Modern Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 S Randall Rd, St Charles, IL 60174 Phone: 630-587-2700 | |
John F. Perisin Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 E Main St, St Charles, IL 60174 Phone: 630-377-3131 |