1. Home
  2. Directory
  3. Illinois
  4. St Charles
  5. Clinic Center
  6. NPI Profile

RANDALLWOOD DENTAL
NPI 1093160715
Clinic/Center - Dental in St Charles, IL

Active since May 02, 2016
1546 EAST MAIN ST., ST CHARLES, IL 60174(630) 377-0034(630) 377-3877 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randallwood Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALLWOOD DENTAL (NPI 1093160715) is a healthcare organization registered as a dental in St Charles, Illinois and active in the NPI registry since May 2016. The organization lists Rene Tanquilut, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1093160715
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTANQ 1, LTD.
Location Address1546 EAST MAIN ST.St Charles, IL 60174
Mailing Address1546 East Main St.St Charles, IL 60174 · (630) 377-0034 · Fax (630) 377-3877
Phone(630) 377-0034
Fax(630) 377-3877
Organization SubpartNo
Authorized OfficialRene TanquilutPresident / Owner · (630) 377-0034
Enumeration DateMay 2, 2016
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1093160715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019023351
1546 EAST MAIN ST., St Charles, IL 60174
Open in Google Maps ↗

Other Names 1

Doing Business AsRandallwood Dental

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanq 1, Ltd.'s NPI number?

The NPI number for Tanq 1, Ltd. is 1093160715. It was assigned to this organization in the NPPES registry on May 2, 2016. The provider is doing business as Randallwood Dental.

Where is Tanq 1, Ltd. located?

Tanq 1, Ltd. is located at 1546 East Main St., St Charles, IL 60174. The listed phone number is (630) 377-0034.

What is Tanq 1, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tanq 1, Ltd. was last updated on June 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.