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St. Charles Modern Dental, Llc
General Practice Dentistry in St Charles, Illinois
NPI 1912220773

St. Charles Modern Dental, Llc is a General Practice Dentistry based in St Charles, IL and is specialized in General Practice. St. Charles Modern Dental, Llc practices in St Charles, IL. The NPI Number for St. Charles Modern Dental, Llc is 1912220773 and holds a License No. 019027170 (Illinois).

The current practice location address for St. Charles Modern Dental, Llc is 855 S Randall Rd, St Charles, IL and can be reached out via phone at 630-587-2700 and via fax at 630-405-1738.

Location: 855 S Randall Rd, St Charles, IL, 60174-1570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912220773
Provider Name
St. Charles Modern Dental, Llc
Credential
Provider Entity Type
Organization
Address
855 S Randall Rd, St Charles, IL, 60174-1570
Phone Number
630-587-2700
Fax Number
630-405-1738
Provider Enumeration Date
03/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
855 S Randall Rd
City
St Charles
State
Illinois
Zip
60174-1570
Phone Number
630-587-2700
Fax Number
630-405-1738
person
Provider Business Mailing Address Details
Address
855 S Randall Rd
City
St Charles
State
Illinois
Zip
60174-1570
Phone Number
630-587-2700
Fax Number
630-405-1738
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019027170 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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