OrganizationActive
College Avenue Dental Sleep Appliances Ltd.
NPI 1962829366 · Durable Medical Equipment & Medical Supplies · Jacksonville, IL
Provider details
- NPI number
- 1962829366
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Randall Lawson, Owner(217) 473-6758
- License
- 019019857 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
505 W College Ave
Jacksonville, IL 62650-2405
Phone: (217) 245-5313
Fax: (217) 383-0204
Street-level locationGet directions
Mailing address
505 W College Ave
Jacksonville, IL 62650-2405
Other names (DBA / former)
- Other name
- Randall E Lawson DDS
Registry dates
- Enumerated
- 2014-03-24
- Last updated
- 2014-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.