Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Route 64 Dental LLC

Organization General Practice Dentistry · NPI 1508384355

Route 64 Dental LLC is a General Practice Dentistry in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

306 W Main St
St Charles, IL 60174-1814
Phone: (630) 584-6177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019012964 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019015977 (IL)

Record details

NPI number1508384355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Acierno — Cfo · (630) 339-3172
NPI enumeratedAugust 31, 2017
Last updated in NPPESAugust 31, 2017
Mailing address1699 E Woodfield Rd Ste 102, Schaumburg, IL 60173-4955

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