Individual provider · Type 1 NPI

Kai Codner, DDS

Oral and Maxillofacial Surgery (Dentist) · Rockford, IL

NPI number 1073103370 Active

Practice location

6050 Brynwood Dr Ste 102
Rockford, IL 61114-6579

Call (815) 877-0694 Map

Mailing address

801 S Paulina St
Chicago, IL 60612-7210

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019033234 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X021003452 (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 1073103370

Kai Codner, DDS's National Provider Identifier is 1073103370, issued on Jan 20, 2021. 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 Jul 22, 2025.