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: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About ST..CHARLES MODERN DENTAL LLC

This page provides the complete NPI Profile along with additional information for St..charles Modern Dental Llc, a provider established in St Charles, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1134442304 assigned on March 2010. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Jeff Thomas (President)

NPI
1134442304 Verify this NPI
Provider Name
ST..CHARLES MODERN DENTAL LLC
Entity Type
Organization
Location Address
855 S RANDALL RD ST CHARLES, IL 60174
Location Phone
(630) 587-2700
Mailing Address
855 S RANDALL RD ST CHARLES, IL 60174
Mailing Phone
(630) 587-2700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2010
Last Update Date
03-02-2010
Code Navigator

A dentist like St.charles Modern Dental Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFF THOMAS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(618) 532-4902

Reviews for ST..CHARLES MODERN DENTAL LLC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
855 S RANDALL RD
ST CHARLES, IL 60174
Dentist (General Practice)
855 S RANDALL RD
ST CHARLES, IL 60174
Pharmacist
855 S RANDALL RD
ST CHARLES, IL 60174
Pharmacist (Pharmacotherapy)
855 S RANDALL RD
ST CHARLES, IL 60174
Pharmacy (Community/Retail Pharmacy)
855 S RANDALL RD
ST CHARLES, IL 60174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134442304, enumerated as an "organization" on March 02, 2010.

The provider is located at 855 S RANDALL RD ST CHARLES, IL 60174 and the phone number is (630) 587-2700.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.