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 |
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Address | 780 N Mulford Rd, Rockford, Illinois |
Phone Number | 8153951600 |
Fax Number | 8153990614 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Abiera Nabong Jonathan |
Credentials | DMD |
Telephone Number | 8153951600 |
NPI Number Detail
NPI Number | 1538386933 |
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Provider Enumeration Date | 2007-04-19 |
Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
Address | 780 N Mulford Rd |
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City | Rockford |
State | Illinois (IL) |
Post Code | 611073855 |
Phone Number | 8153951600 |
Fax Number | 8153990614 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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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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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.