Individual provider · Type 1 NPI

Rajeswari Manam

General Practice Dentistry · Rockford, IL

NPI number 1639004906 Active

Practice location

6215 E State St
Rockford, IL 61108-2514

Call (815) 399-7777 Map

Mailing address

6349 Galleon Dr
Mechanicsburg, PA 17050-2949

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.037481 (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.

17 other providers at this address

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About NPI 1639004906

Rajeswari Manam's National Provider Identifier is 1639004906, issued on Jun 16, 2026. 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 2, 2026.