Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
2102 RANDOLPH VANDALIA PROFESSIONAL, LLC
Active Organization2102 RANDOLPH VANDALIA PROFESSIONAL, LLC is a General Dentistry organization located in VANDALIA, Illinois. NPI 1588532675 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · VANDALIA, IL
Registration Details
- NPI Number
- 1588532675
- Provider Type
- Organization
- NPI Issued
- Oct 29, 2025 (0.80134472466229 yrs)
- Last Updated
- Oct 29, 2025
Practice Information
- Address
-
2102 W RANDOLPH STVANDALIA, IL, 624711973Browse IL providers · Browse ZIP 62471
- Phone
- 6182834900
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Organizations in VANDALIA, IL
| Name | NPI |
|---|---|
| DYNAMIC DENTAL GROUP, P.C. | 1811062557 |
| VANDALIA DENTAL ASSOCIATES, LLC | 1508929118 |
| MIDAMERICA CENTER FOR DENTAL WELLNESS & AESTHETICS PC | 1093170003 |
| MID AMERICA DENTAL LLC | 1518829134 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.