Individual provider · Type 1 NPI
Randall Eugene Wilson, DDS
General Practice Dentistry · Swansea, IL
NPI number
1164540365
Active
Practice location
4121 Old Collinsville Rd
Swansea, IL 62226-2441
Fax (618) 222-2997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019-019975 (IL) |
General Practice Dentistry: 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.
3 other providers at this address
Other general practice dentistry providers in Swansea
- Raymond Anthony Crisio, DMDGeneral Practice Dentistry Swansea, IL NPI 1053354373
- Kevin Lee Shelton, DDSGeneral Practice Dentistry Swansea, IL NPI 1386798247
- James K. Stubblefield, DDSGeneral Practice Dentistry Swansea, IL NPI 1437251667
- Jeffrey Charles Banker, DDS MSGeneral Practice Dentistry Swansea, IL NPI 1467438374
- Niketa PatelGeneral Practice Dentistry Swansea, IL NPI 1619666716
- Lauren Brittany Wilson, DMDGeneral Practice Dentistry Swansea, IL NPI 1730700477
- Kristin Ann Miller, DMDGeneral Practice Dentistry Swansea, IL NPI 1922096148
About NPI 1164540365
Randall Eugene Wilson, DDS's National Provider Identifier is 1164540365, issued on Mar 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Swansea, IL. The record was last updated on Sep 10, 2025.