OrganizationActive
St..charles Modern Dental LLC
NPI 1134442304 · General Practice Dentistry · St Charles, IL
St..charles Modern Dental LLC is a General Practice Dentistry organization in St Charles, IL (NPI 1134442304).
Provider details
- NPI number
- 1134442304
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeff Thomas, President(618) 532-4902
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
855 S Randall Rd
St Charles, IL 60174-1570
Phone: (630) 587-2700
Street-level locationGet directions
Mailing address
855 S Randall Rd
St Charles, IL 60174-1570
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Frequently asked questions
- What is St..charles Modern Dental LLC's NPI number?
- St..charles Modern Dental LLC's National Provider Identifier (NPI) is 1134442304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St..charles Modern Dental LLC?
- St..charles Modern Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is St..charles Modern Dental LLC located?
- St..charles Modern Dental LLC's practice location on file with NPPES is 855 S Randall Rd, St Charles, IL 60174-1570.
- What is St..charles Modern Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for St..charles Modern Dental LLC is (630) 587-2700.
- Who is the authorized official for St..charles Modern Dental LLC?
- The authorized official listed on St..charles Modern Dental LLC's NPPES record is Jeff Thomas, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St..charles Modern Dental LLC's NPI active?
- Yes — St..charles Modern Dental LLC's NPI (1134442304) is active in the NPPES registry as of the last update on 2010-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.