Organization · Type 2 NPI

Affordable Dentistry Today, PC

General Practice Dentistry · St. Charles, IL

NPI number 1750503371 Active

Practice location

615 South Randall Road, Unit #110
St. Charles, IL 60174-1564

Fax (630) 443-6637

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	None listed
General Practice Dentistry Primary	1223G0001X	019029509 (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.

Other general practice dentistry providers in St. Charles

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NPI record

NPI: 1750503371
Entity type: Organization (Type 2)
Issued: May 3, 2007
Last updated: Oct 20, 2016
Status: Active
Subpart: Yes of Affordable Dentistry Today, PC

Other names

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St. Charles Lifetime Dental · doing business as

Authorized official

Kim Zuber
I & R Supervisor
(217) 540-5170

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750503371

Affordable Dentistry Today, PC's National Provider Identifier is 1750503371, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Charles, IL. The record was last updated on Oct 20, 2016.