College Avenue Dental Sleep Appliances Ltd
College Avenue Dental Sleep Appliances Ltd is a Durable Medical Equipment & Medical Supplies in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
505 W College AveJacksonville, IL 62650-2405
Phone: (217) 245-5313
Fax: (217) 383-0204
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 019019857 (IL) |
|---|
Record details
| NPI number | 1962829366 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Lawson — Owner · (217) 473-6758 |
| Other names | Randall E Lawson Dds |
| NPI enumerated | March 24, 2014 |
| Last updated in NPPES | April 22, 2014 |
| Mailing address | 505 W College Ave, Jacksonville, IL 62650-2405 |
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