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2102 Randolph Vandalia Professional, LLC

General Practice Dentistry in Vandalia, IL · enumerated 2025 · authorized official Pam Draper, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588532675

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Registry record

Entity type Organization (Type 2)
Legal business name 2102 Randolph Vandalia Professional, LLC
Practice address 2102 W Randolph St, Vandalia, IL, 62471
Phone (618) 283-4900
Enumeration date Oct 29, 2025
Last updated in NPPES Oct 29, 2025

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Pam Draper
Title Vp of Operations
Phone (602) 391-4086

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 2102 Randolph Vandalia Professional, LLC?
NPPES lists Pam Draper (Vp of Operations) as the authorized official for this organization.
What is the NPI number for 2102 Randolph Vandalia Professional, LLC?
The NPI for 2102 Randolph Vandalia Professional, LLC is 1588532675, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-29.