OrganizationActive
Ronald Weems Jr. P.C.
NPI 1700100930 · General Practice Dentistry · O Fallon, IL
Provider details
- NPI number
- 1700100930
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Henderson, Owner(618) 288-6201
- License
- 019025159 (IL)
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
3750 Green Mount Crossing Dr
O Fallon, IL 62269-7293
Phone: (618) 628-7050
Fax: (618) 628-6957
Street-level locationGet directions
Mailing address
26 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Other names (DBA / former)
- Doing business as
- Shiloh Family Dental
Registry dates
- Enumerated
- 2010-03-17
- Last updated
- 2013-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.