Doctor profile · Federal record
Dr. Randall Wilson, D.D.S.
General Practice Dentistry · Swansea, IL
- NPI 1164540365
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4121 Old Collinsville RD
Swansea, IL 622262441
(618) 236-0501
fax (618) 222-2997
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- September 10, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Illinois #019-019975
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164540365. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$59
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 3 | $59.01 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
30
Total drug cost
$130
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 18 | 18 | $44 |
| Clindamycin Hcl | Generic | 13 | 12 | $86 |
Frequently asked questions
What is Dr. Randall Wilson's medical specialty?
Dr. Randall Wilson practices General Practice Dentistry in Swansea, IL.
Where does Dr. Randall Wilson practice?
Dr. Randall Wilson practices at 4121 Old Collinsville RD, Swansea, IL 622262441. Office phone: 6182360501.
What is Dr. Randall Wilson's NPI?
Dr. Randall Wilson's National Provider Identifier (NPI) is 1164540365, issued by NPPES.