Organization · Type 2 NPI
Randall E Wilson DDS
Dental Clinic/Center · Swansea, IL
NPI number
1891316535
Active
Practice location
4121 Old Collinsville Rd
Swansea, IL 62226-2511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1891316535
Randall E Wilson DDS's National Provider Identifier is 1891316535, issued on May 5, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Swansea, IL. The record was last updated on Jul 23, 2025.