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ST..CHARLES MODERN DENTAL LLC
NPI 1134442304
Dentist - General Practice in St Charles, IL

Active since March 02, 2010
855 S RANDALL RD, ST CHARLES, IL 60174(630) 587-2700 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St..charles Modern Dental Llc NPPES

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

ST..CHARLES MODERN DENTAL LLC (NPI 1134442304) is a healthcare organization registered as a general practice in St Charles, Illinois and active in the NPI registry since March 2010. The organization lists Jeff Thomas, President, as its authorized official.

NPPES Registry Identity

NPI1134442304
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameST..CHARLES MODERN DENTAL LLC
Location Address855 S RANDALL RDSt Charles, IL 60174-1570
Mailing Address855 S Randall RdSt Charles, IL 60174-1570 · (630) 587-2700
Phone(630) 587-2700
Organization SubpartNo
Authorized OfficialJeff ThomasPresident · (618) 532-4902
Enumeration DateMarch 2, 2010
✔ NPI 1134442304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
855 S RANDALL RD, St Charles, IL 60174
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVE PASIN DDS
Dentist (General Practice)
855 S RANDALL RD
ST CHARLES, IL 60174
Kane County (630) 587-2700
ELIZABETH KOENEN
Pharmacist
855 S RANDALL RD
ST CHARLES, IL 60174
Kane County (630) 762-7210
MARY JOHNSON
Pharmacist (Pharmacotherapy)
855 S RANDALL RD
ST CHARLES, IL 60174
Kane County (616) 430-9555
ST. CHARLES MODERN DENTAL, LLC
Dentist (General Practice)
855 S RANDALL RD
ST CHARLES, IL 60174
Kane County (630) 587-2700
MEIJER GREAT LAKES LIMITED PARTNERSHIP
Pharmacy (Community/Retail Pharmacy)
855 S RANDALL RD
ST CHARLES, IL 60174
Kane County (630) 762-7210

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 St..Charles Modern Dental LLC's NPI number?

The NPI number for St..Charles Modern Dental LLC is 1134442304. It was assigned to this organization in the NPPES registry on March 2, 2010.

Where is St..Charles Modern Dental LLC located?

St..Charles Modern Dental LLC is located at 855 S Randall Rd, St Charles, IL 60174. The listed phone number is (630) 587-2700.

What is St..Charles Modern Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for St..Charles Modern Dental LLC was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.