Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
STATELINE DENTISTRY PC
Active
Organization
STATELINE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROBERTS (OFFICE MANAGER)
(815) 385-4140
Entity
Organization
Contact information
Practice address
3700 IL ROUTE 173, RICHMOND, IL 60071-9614
(815) 701-6411
Mailing address
3700 IL ROUTE 173, RICHMOND, IL 60071-9614
(815) 701-6411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up