Organization · Type 2 NPI

Grand Smiles 4, PLLC

General Practice Dentistry · Rockford, IL

NPI number 1194690214 Active

About NPI 1194690214

Grand Smiles 4, PLLC's National Provider Identifier is 1194690214, issued on Oct 8, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Oct 8, 2025.