Individual provider · Type 1 NPI

Samuel Moore Wallden, DMD

General Practice Dentistry · Rockford, IL

NPI number 1811348287 Active

Practice location

6075 Vantage Pl
Rockford, IL 61107-5905

Call (815) 399-0677 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.030757 (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 1811348287

Samuel Moore Wallden, DMD's National Provider Identifier is 1811348287, issued on Jun 28, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Jun 28, 2016.