| Dental Group Of Rockford | |
|
3065 N Perryville Rd Unit 125 Rockford IL 61114-8036 | |
| (815) 637-2273 | |
| (815) 637-2466 |
| Full Name | Dental Group Of Rockford |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3065 N Perryville Rd Unit 125, Rockford, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Of Rockford 3065 N Perryville Rd Unit 125 Rockford IL 61114-8036 Ph: (815) 637-2273 | Dental Group Of Rockford 3065 N Perryville Rd Unit 125 Rockford IL 61114-8036 Ph: (815) 637-2273 |
| NPI Number | 1902028178 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902028178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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