Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL EUGENE WILSON, D.D.S.
Active Sole ProprietorDR. RANDALL EUGENE WILSON, D.D.S. is a General Dentistry healthcare provider located in SWANSEA, Illinois. NPI 1164540365 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SWANSEA, IL
Registration Details
- NPI Number
- 1164540365
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.350456720564 yrs)
- Last Updated
- Sep 10, 2025
- License
-
019-019975 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4121 OLD COLLINSVILLE RDSWANSEA, IL, 622262441Browse IL providers · Browse ZIP 62226
- Phone
- 6182360501
- Fax
- 6182222997
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SWANSEA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KRISTIN ANN MILLER | DMD | 1922096148 |
| DR. JEFFREY CHARLES BANKER | DDS MS | 1467438374 |
| MR. RAYMOND ANTHONY CRISIO | DMD | 1053354373 |
| MR. JAMES K STUBBLEFIELD | DDS | 1437251667 |
| DR. KEVIN LEE SHELTON | D.D.S. | 1386798247 |
| DR. LAUREN BRITTANY WILSON | DMD | 1730700477 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.