2102 Randolph Vandalia Professional, LLC
2102 Randolph Vandalia Professional, LLC provides General Practice Dentistry in Vandalia, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2102 W Randolph StVandalia, IL 62471-1973
Phone: (618) 283-4900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1588532675 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pam Draper — Vp Of Operations · (602) 391-4086 |
| NPI enumerated | October 29, 2025 |
| Last updated in NPPES | October 29, 2025 |
| Certification date | October 29, 2025 |
| Mailing address | 2102 W Randolph St, Vandalia, IL 62471-1973 |
Other providers in Vandalia
-
Dr. Mark Gregory Brunk, DMD
607 W Orchard St, Vandalia, IL 62471-1234 · (618) 283-2929
-
Dr. Bradley Knight Dunn, DMD
2102 W Randolph St, Vandalia, IL 62471-1973 · (618) 283-4900
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Dynamic Dental Group, PC
2102 W Randolph St, Vandalia, IL 62471-1973 · (618) 283-4900
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Callie Fleshren, DMD
2102 W Randolph St, Vandalia, IL 62471-1973 · (618) 283-4900