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Organization
ROOTED HERITAGE LLC
Active
Organization
ROOTED HERITAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C HINES III DMD (DENTIST)
(309) 846-3371
Entity
Organization
Contact information
Practice address
4956 BENCHMARK CENTRE DR STE C, SWANSEA, IL 62226-7605
(618) 622-9533
Mailing address
140 OAKSHIRE DR E, GLEN CARBON, IL 62034-8528
(309) 846-3371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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