College Avenue Dental Sleep Appliances Ltd.
Durable Medical Equipment & Medical Supplies
505 W College Ave, Jacksonville
Illinois, 62650-2405
217-245-5313 217-383-0204
College Avenue Dental Sleep Appliances Ltd. is a Durable Medical Equipment & Medical Supplies in Jacksonville, Illinois. It is located at 505 W College Ave, Jacksonville and it's customer support contact number is 217-245-5313. The authorized person of College Avenue Dental Sleep Appliances Ltd. is Randall Evert Lawson, DDS who is Owner of this DME and his contact number is 217-473-6758. Active license number of College Avenue Dental Sleep Appliances Ltd. is 019019857 for Durable Medical Equipment & Medical Supplies in Illinois. College Avenue Dental Sleep Appliances Ltd. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
College Avenue Dental Sleep Appliances Ltd. 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.
DME Supplier Details:
College Avenue Dental Sleep Appliances Ltd. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | College Avenue Dental Sleep Appliances Ltd. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 505 W College Ave, Jacksonville,
Illinois, 62650-2405 |
| Phone: | 217-245-5313 |
| Fax: | 217-383-0204 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Randall Evert Lawson |
| Credentials: | DDS |
| Position: | Owner |
| Contact Number: | 217-473-6758 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1962829366 |
| NPI Enumeration Date: | 24 Mar, 2014 |
| NPI Last Update On: | 22 Apr, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for College Avenue Dental Sleep Appliances Ltd. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 019019857 | Illinois | Primary | |
Medicare Enrollment:
College Avenue Dental Sleep Appliances Ltd. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1759505282 | O20140624000663 | College Avenue Dental Sleep Appliances Ltd. | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 505 W College Ave,
Jacksonville, Illinois |
| Zip: | 62650-2405 |
| Phone Number: | 217-245-5313 |
| Fax Number: | 217-383-0204 |
Patients can reach College Avenue Dental Sleep Appliances Ltd. at
505 W College Ave, Jacksonville, Illinois or can
call on customer care at 217-245-5313.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.