Route 64 Dental LLC
NPI 1508384355ActiveOrganization· Dentist, General Practice· St Charles, IL
Dentist, General Practice in St Charles, Illinois, registered in NPPES in August 2017. The authorized official on file is Alan M. Acierno, Cfo.
Overview
| NPI | 1508384355 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2017 |
| Last updated in NPPES | Aug 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019012964 | IL |
| Dentist, General Practice | 1223G0001X | 019015977 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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