| Rockford Oms | |
|
425 Roxbury Rd Rockford IL 61107-5075 | |
| (815) 226-4700 | |
| (815) 391-5188 |
| Full Name | Rockford Oms |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 425 Roxbury Rd, Rockford, Illinois |
| Authorized Official Name and Position | Edward Paul Rentschler (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8152264700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Oms 425 Roxbury Rd Rockford IL 61107-5075 Ph: (815) 226-4700 | Rockford Oms 425 Roxbury Rd Rockford IL 61107-5075 Ph: (815) 226-4700 |
| NPI Number | 1992975551 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992975551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
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