Individual provider · Type 1 NPI
Jacob Caine Dachman, DMD
Pediatric Dentistry · Rockford, IL
NPI number
1669054839
Active
Practice location
4903 E State St
Rockford, IL 61108-2276
Mailing address
5 La Quinta Ct
Lake In The Hills, IL 60156-4490
Other practice locations
- 3333 Burnet Ave, Cincinnati, OH 45229-3026 · (815) 236-7462
- 5 La Quinta Ct, Lake In The Hills, IL 60156-4490 · (815) 236-7462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021.003272 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 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 1669054839
Jacob Caine Dachman, DMD's National Provider Identifier is 1669054839, issued on Apr 26, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rockford, IL. The record was last updated on Aug 1, 2023.