Organization · Type 2 NPI
Pediatric Dentistry of Northern Illinois Ltd
Pediatric Dentistry · Rockford, IL
NPI number
1376651679
Active
Practice location
4903 E State St
Rockford, IL 61108
Fax (815) 398-2328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019 (IL) |
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Rockford
About NPI 1376651679
Pediatric Dentistry of Northern Illinois Ltd's National Provider Identifier is 1376651679, issued on Aug 27, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rockford, IL. The record was last updated on Aug 22, 2020.