| St. Charles Lifetime Dental | |
|
615 South Randall Road, Unit #110 St. Charles IL 60174-1564 | |
| (630) 443-6635 | |
| (630) 443-6637 |
| Full Name | St. Charles Lifetime Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 South Randall Road, Unit #110, St. Charles, Illinois |
| Authorized Official Name and Position | Kim Zuber (I & R SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Lifetime Dental 615 South Randall Road, Unit #110 St. Charles IL 60174-1564 Ph: (630) 443-6635 | St. Charles Lifetime Dental 615 South Randall Road, Unit #110 St. Charles IL 60174-1564 Ph: (630) 443-6635 |
| NPI Number | 1750503371 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750503371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 019029509 (Illinois) | Primary |
Randall Ridge Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 Phone: 630-587-2600 Fax: 630-587-2605 | |
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 |