OrganizationActive
Affordable Dentistry Today, PC
NPI 1750503371 · General Practice Dentistry · St. Charles, IL
Provider details
- NPI number
- 1750503371
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Affordable Dentistry Today, PC
- Organization subpart
- Yes
- Authorized official
- Kim Zuber, I & R Supervisor(217) 540-5170
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Practice location
615 South Randall Road, Unit #110
St. Charles, IL 60174-1564
Phone: (630) 443-6635
Fax: (630) 443-6637
Approximate (ZIP-level) locationGet directions
Mailing address
615 South Randall Road, Unit #110
St. Charles, IL 60174-1564
Other names (DBA / former)
- Doing business as
- St. Charles Lifetime Dental
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2016-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.