Custom Dental Care, P.c. is a Dental Clinic in Quincy, Illinois. It is located at 3740 E Lake Ctr Ste B, Quincy, IL and its contact number is 217-214-4545. The authorized person for Custom Dental Care, P.c. is Dr. Dennis Ryan Wagner
who is Owner/president of the clinic and their contact number is 217-430-1429. The primary license number for Custom Dental Care, P.c. is 019027406 (Dentist) in Illinois.
Custom Dental Care, P.c. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Custom Dental Care, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Custom Dental Care, P.c. |
| Specialization: | Dentistry |
| Clinic Address: | 3740 E Lake Ctr Ste B, Quincy,
Illinois, 62305-5805 |
| Phone: | 217-214-4545 |
| Fax: | 217-214-4546 |
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: | Dr. Dennis Ryan Wagner |
| Position: | Owner/president |
| Contact Number: | 217-430-1429 |
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 Custom Dental Care, P.c. clinic are as mentioned below.
| NPI Number: | 1932452893 |
| NPI Enumeration Date: | 17 Oct, 2012 |
| NPI Last Update On: | 17 Oct, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Custom Dental Care, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 019027406 | Illinois | 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: | Custom Dental Care, P.c.
3740 E Lake Ctr Ste B,
Quincy, Illinois |
| Zip: | 62305-5805 |
| Phone Number: | 217-214-4545 |
| Fax Number: | 217-214-4546 |
Patients can reach Custom Dental Care, P.c. at
3740 E Lake Ctr Ste B, Quincy, Illinois or can
call to book an appointment on 217-214-4545.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.