DR. Randall Eugene Wilson, D.D.S. is a general practice dentist in Swansea, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Randall Eugene Wilson, D.D.S. NPI is 1164540365. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4121 OLD COLLINSVILLE RD
SWANSEA, IL
ZIP 62226-441
Phone: (618) 236-0501
Fax: (618) 222-2997
The NPI 1164540365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/8/2007.