Organization
AFFORDABLE DENTISTRY TODAY, PC
Active
Parent organization
AFFORDABLE DENTISTRY TODAY, PC
Other names
St. Charles Lifetime Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE DENTISTRY TODAY, PC
Authorized official
KIM ZUBER (I & R SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
615 SOUTH RANDALL ROAD, UNIT #110, ST. CHARLES, IL 60174-1564
(630) 443-6635
(630) 443-6637
Mailing address
615 SOUTH RANDALL ROAD, UNIT #110, ST. CHARLES, IL 60174-1564
(630) 443-6635
(630) 443-6637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029509
IL
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
05/03/2007
Last updated
10/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us