| 2102 Randolph Vandalia Professional, Llc | |
|
2102 W Randolph St Vandalia IL 62471-1973 | |
| (618) 283-4900 | |
| Not Available |
| Full Name | 2102 Randolph Vandalia Professional, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2102 W Randolph St, Vandalia, Illinois |
| Authorized Official Name and Position | Pam Draper (VP OF OPERATIONS) |
| Authorized Official Contact | 6023914086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2102 Randolph Vandalia Professional, Llc 2102 W Randolph St Vandalia IL 62471-1973 Ph: (618) 283-4900 | 2102 Randolph Vandalia Professional, Llc 2102 W Randolph St Vandalia IL 62471-1973 Ph: (618) 283-4900 |
| NPI Number | 1588532675 |
|---|---|
| Provider Enumeration Date | 10/29/2025 |
| Last Update Date | 10/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588532675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Midamerica Center For Dental Wellness & Aesthetics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 W Orchard St, Vandalia, IL 62471 Phone: 618-283-2929 Fax: 618-283-2113 | |
William E Stringer Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 N Eighth St, Vandalia, IL 62477 Phone: 618-283-1444 | |
Vandalia Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2219 W Randolph St, Vandalia, IL 62471 Phone: 618-283-1760 Fax: 618-283-1657 | |
Mid America Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 W Orchard St, Vandalia, IL 62471 Phone: 618-283-2929 | |
Dynamic Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 W Randolph St, Vandalia, IL 62471 Phone: 618-283-4900 Fax: 618-283-4963 |