St Charles Modern Dental, LLC
St Charles Modern Dental, LLC provides General Practice Dentistry in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
855 S Randall RdSt Charles, IL 60174-1570 Not confirmed with CMS for 16 years — call before visiting
Phone: (630) 587-2700
Fax: (630) 405-1738
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 · Licence 019027170 (IL) |
|---|
Record details
| NPI number | 1912220773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kianor Shahmohmmadi — Ceo - Nexus Dentistry · (618) 917-5808 |
| Other names | St. Charles Modern Dental |
| NPI enumerated | March 9, 2010 |
| Last updated in NPPES | March 9, 2010 |
| Mailing address | 855 S Randall Rd, St Charles, IL 60174-1570 |
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St Charles Family Dentristry LTD
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St Charles Modern Dental LLC
855 S Randall Rd, St Charles, IL 60174-1570 · (630) 587-2700
-
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Dr. Jameson Earl Teuscher, DMD
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