2102 Randolph Vandalia Professional, Llc is a Dental Clinic in Vandalia, Illinois. It is located at 2102 W Randolph St, Vandalia, IL and its contact number is 618-283-4900. The authorized person for 2102 Randolph Vandalia Professional, Llc is Pam Draper
who is Vp Of Operations of the clinic and their contact number is 602-391-4086. Other organizations associated with this clinic are 2102 Randolph Vandalia Professional, Llc, Dynamic Dental Group, P.c.,
2102 Randolph Vandalia Professional, Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
2102 Randolph Vandalia Professional, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | 2102 Randolph Vandalia Professional, Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2102 W Randolph St, Vandalia,
Illinois, 62471-1973 |
| Phone: | 618-283-4900 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Pam Draper |
| Position: | Vp Of Operations |
| Contact Number: | 602-391-4086 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 2102 Randolph Vandalia Professional, Llc clinic are as mentioned below.
| NPI Number: | 1588532675 |
| NPI Enumeration Date: | 29 Oct, 2025 |
| NPI Last Update On: | 29 Oct, 2025 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| 2102 Randolph Vandalia Professional, Llc | General Practice Dentistry | 1588532675 |
| Dynamic Dental Group, P.c. | General Practice Dentistry | 1811062557 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 2102 Randolph Vandalia Professional, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2102 Randolph Vandalia Professional, Llc
2102 W Randolph St,
Vandalia, Illinois |
| Zip: | 62471-1973 |
| Phone Number: | 618-283-4900 |
Patients can reach 2102 Randolph Vandalia Professional, Llc at
2102 W Randolph St, Vandalia, Illinois or can
call to book an appointment on 618-283-4900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.