VANDALIA DENTAL ASSOCIATES, LLC
NPI 1508929118
Dentist - General Practice in Vandalia, IL

Active since December 18, 2006
2219 W RANDOLPH ST, VANDALIA, IL 62471(618) 283-1760(618) 283-1657 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vandalia Dental Associates, Llc NPPES

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

VANDALIA DENTAL ASSOCIATES, LLC (NPI 1508929118) is a healthcare organization registered as a general practice in Vandalia, Illinois and active in the NPI registry since December 2006. The organization lists John (jay) Jason Lowry, Owner, as its authorized official.

NPPES Registry Identity

NPI1508929118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVANDALIA DENTAL ASSOCIATES, LLC
Location Address2219 W RANDOLPH STVandalia, IL 62471-1947
Mailing Address2219 W Randolph StVandalia, IL 62471-1947 · (618) 283-1760 · Fax (618) 283-1657
Fax(618) 283-1657
Organization SubpartNo
Authorized OfficialJohn (jay) Jason LowryOwner · (618) 283-1760
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1508929118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 33977917
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.

2219 W RANDOLPH ST, Vandalia, IL 62471

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.

Dentist (General Practice)
2219 W RANDOLPH ST
VANDALIA, IL 62471
Dentist (General Practice)
2219 W RANDOLPH ST
VANDALIA, IL 62471

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 Vandalia Dental Associates, LLC's NPI number?

The NPI number for Vandalia Dental Associates, LLC is 1508929118. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Vandalia Dental Associates, LLC located?

Vandalia Dental Associates, LLC is located at 2219 W Randolph St, Vandalia, IL 62471. The listed phone number is (618) 283-1760.

What is Vandalia Dental Associates, 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 Vandalia Dental Associates, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.