| Route 64 Dental Llc | |
|
306 W Main St St Charles IL 60174-1814 | |
| (630) 584-6177 | |
| Not Available |
| Full Name | Route 64 Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 306 W Main St, St Charles, Illinois |
| Authorized Official Name and Position | Alan M Acierno (CFO) |
| Authorized Official Contact | 6303393172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Route 64 Dental Llc 1699 E Woodfield Rd Ste 102 Schaumburg IL 60173-4955 Ph: (630) 339-3172 | Route 64 Dental Llc 306 W Main St St Charles IL 60174-1814 Ph: (630) 584-6177 |
| NPI Number | 1508384355 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 08/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508384355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019015977 (Illinois) | Secondary |
| 1223G0001X | Dentist - General Practice | 019012964 (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 | |
Randallwood Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1546 East Main St., St Charles, IL 60174 Phone: 630-377-0034 Fax: 630-377-3877 | |
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 |