Randall E Wilson DDS
Randall E Wilson DDS is a Dental Clinic/Center in Swansea, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
4121 Old Collinsville RdSwansea, IL 62226-2511
Phone: (618) 236-0501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1891316535 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Wilson — Owner · (618) 236-0501 |
| NPI enumerated | May 5, 2020 |
| Last updated in NPPES | July 23, 2025 |
| Certification date | July 23, 2025 |
| Mailing address | 4121 Old Collinsville Rd, Swansea, IL 62226-2511 |