Individual provider · Type 1 NPI

June Upshaw Lallas, DDS

General Practice Dentistry · Rockford, IL

NPI number 1528041597 Active

Practice location

1200 W State St
Rockford, IL 61102-2112

Fax (815) 547-1595

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019023799 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1528041597

June Upshaw Lallas, DDS's National Provider Identifier is 1528041597, issued on Nov 23, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Jul 31, 2015.