Individual provider · Type 1 NPI

Michael David Degould, DDS

Oral and Maxillofacial Surgery (Dentist) · Rockford, IL

NPI number 1245673441 Active

Practice location

2835 Mcfarland Rd, Suite C
Rockford, IL 61107-6819

Call (815) 654-0039 Map

Fax (815) 654-0650

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019019722 (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 1245673441

Michael David Degould, DDS's National Provider Identifier is 1245673441, issued on Apr 8, 2013. 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 Sep 10, 2014.