COLLEGE AVENUE DENTAL SLEEP APPLIANCES LTD. NPI 1962829366

NPI Information

COLLEGE AVENUE DENTAL SLEEP APPLIANCES LTD. is a durable medical equipment medical supplies in Jacksonville, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COLLEGE AVENUE DENTAL SLEEP APPLIANCES LTD. NPI is 1962829366. The provider is registered as an organization entity type.
The provider Other Name Is Randall E Lawson Dds.

The provider's business location address is:

505 W COLLEGE AVE
JACKSONVILLE, IL
ZIP 62650-405
Phone: (217) 245-5313
Fax: (217) 383-0204

The provider's authorized official is Randall Evert Lawson .
The authorized official title is Owner and has the following contact phone number (217) 473-6758.

The enumeration date for this NPI number is 3/24/2014 and was last updated on 4/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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