ROUTE 64 DENTAL LLC
NPI 1508384355
Dentist - General Practice in St Charles, IL

Q: What is Route 64 Dental LLC's NPI number?

The NPI number for Route 64 Dental LLC is 1508384355. It was assigned to this organization in the NPPES registry on August 31, 2017.

Q: What is Route 64 Dental LLC's specialty?

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

Active since August 31, 2017

306 W MAIN ST, ST CHARLES, IL 60174(630) 584-6177 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Route 64 Dental Llc NPPES

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

ROUTE 64 DENTAL LLC (NPI 1508384355) is a healthcare organization registered as a general practice in St Charles, Illinois and active in the NPI registry since August 2017. The organization lists Alan M Acierno, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508384355

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameROUTE 64 DENTAL LLC

Location Address306 W MAIN STSt Charles, IL 60174-1814

Mailing Address1699 E Woodfield Rd Ste 102Schaumburg, IL 60173-4955 · (630) 339-3172 · Fax (847) 891-6775

Phone(630) 584-6177

Organization SubpartNo

Authorized OfficialAlan M AciernoCfo · (630) 339-3172

Enumeration DateAugust 31, 2017

✔ NPI 1508384355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IL · 019012964✔ Licensed in IL · 019015977

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.

306 W MAIN ST, 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 2

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

DR. JOHN F. MICKA D.D.S.

Dentist

306 W MAIN ST
ST CHARLES, IL 60174

Kane County (630) 584-6177

DR. RALPH E. REMUS D.D.S.

Dentist (General Practice)

306 W MAIN ST
ST CHARLES, IL 60174

Kane County (630) 584-7477

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 Route 64 Dental LLC's NPI number?

The NPI number for Route 64 Dental LLC is 1508384355. It was assigned to this organization in the NPPES registry on August 31, 2017.

Where is Route 64 Dental LLC located?

Route 64 Dental LLC is located at 306 W Main St, St Charles, IL 60174. The listed phone number is (630) 584-6177.

What is Route 64 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 Route 64 Dental LLC was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.