Great Smiles Of Rockford, Ltd in Rockford - General Practice

Great Smiles Of Rockford, Ltd - NPI 1538386933

Great Smiles Of Rockford, Ltd is a General Practice in Rockford, Illinois. Great Smiles Of Rockford, Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Great Smiles Of Rockford, Ltd is 1538386933. The last update date is 2007-09-27.

Great Smiles Of Rockford, Ltd's current location address is 780 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8153951600 and fax number 8153990614. The mailing address for Great Smiles Of Rockford, Ltd is 780 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Great Smiles Of Rockford, Ltd
Address 780 N Mulford Rd, Rockford, Illinois
Phone Number 8153951600
Fax Number 8153990614
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Abiera Nabong Jonathan
Credentials DMD
Telephone Number 8153951600

NPI Number Detail

NPI Number 1538386933
Provider Enumeration Date 2007-04-19
Last Updated Date 2007-09-27

Provider Mailing Address Detail

Address 780 N Mulford Rd
City Rockford
State Illinois (IL)
Post Code 611073855
Phone Number 8153951600
Fax Number 8153990614

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Great Smiles Of Rockford, Ltd

What is the unique provider identifier assigned to Great Smiles Of Rockford, Ltd?

The Great Smiles Of Rockford, Ltd has been issued the NPI (National Provider Identifier) 1538386933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Great Smiles Of Rockford, Ltd's facilities are geographically located?

The facilities of Great Smiles Of Rockford, Ltd are physically situated at the following location: 780 N Mulford Rd, Rockford, IL, 611073855.

What is Great Smiles Of Rockford, Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?

The Great Smiles Of Rockford, Ltd's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1538386933 to Great Smiles Of Rockford, Ltd?

The Great Smiles Of Rockford, Ltd received its 1538386933 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.

When was the Great Smiles Of Rockford, Ltd's information last updated?

The Great Smiles Of Rockford, Ltd's information was last updated on 2007-09-27.

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