Organization · Type 2 NPI
Michael Degould DDS PC
Oral and Maxillofacial Surgery (Dentist) · Rockford, IL
NPI number
1346318532
Active
Practice location
2835 Mcfarland Road, Suite C
Rockford, IL 61107
Fax (815) 654-0650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 021001500 (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.
Other oral and maxillofacial surgery (dentist) providers in Rockford
About NPI 1346318532
Michael Degould DDS PC's National Provider Identifier is 1346318532, issued on Dec 4, 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 Jan 28, 2013.