Individual provider · Type 1 NPI
Edward Paul Rentschler, DDS
Oral and Maxillofacial Surgery (Dentist) · Rockford, IL
NPI number
1003977224
Active
Practice location
449 Roxbury Road
Rockford, IL 61107
Fax (815) 391-5188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019020034 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1003977224
Edward Paul Rentschler, DDS's National Provider Identifier is 1003977224, issued on Dec 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rockford, IL. The record was last updated on Dec 28, 2018.