OrganizationActive
Tanq 1, Ltd.
NPI 1093160715 · Dental Clinic/Center · St Charles, IL
Provider details
- NPI number
- 1093160715
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rene Tanquilut, President / Owner(630) 377-0034
- License
- 019023351 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1546 East Main St.
St Charles, IL 60174
Phone: (630) 377-0034
Fax: (630) 377-3877
Street-level locationGet directions
Mailing address
1546 East Main St.
St Charles, IL 60174
Other names (DBA / former)
- Doing business as
- Randallwood Dental
- Doing business as
- Randallwood Dental
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2021-06-09
- Certified
- 2021-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.