| Dr Samuel Moore Wallden, DMD | |
|
6075 Vantage Pl, Rockford, IL 61107-5905 | |
| (815) 399-0677 | |
| Not Available |
| Full Name | Dr Samuel Moore Wallden |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 6075 Vantage Pl, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811348287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.030757 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Moore Wallden, DMD 6075 Vantage Pl, Rockford, IL 61107-5905 Ph: (815) 399-0677 | Dr Samuel Moore Wallden, DMD 6075 Vantage Pl, Rockford, IL 61107-5905 Ph: (815) 399-0677 |
Mr. Edward Paul Rentschler, DDS Dentist Medicare: Medicare Enrolled Practice Location: 449 Roxbury Road, Rockford, IL 61107 Phone: 815-226-4700 Fax: 815-391-5188 | |
Dr. Wei Gao, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 318 College Ave, Rockford, IL 61104 Phone: 815-965-5555 Fax: 815-965-5561 | |
Dr. Thomas Ryan Moss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1415 E State Street, Rockford, IL 61104 Phone: 815-964-5121 Fax: 815-964-6105 | |
Dr. Saseelan Sivagnanam, BDS Dentist Medicare: Medicare Enrolled Practice Location: 7318 Argus Dr, Rockford, IL 61107 Phone: 815-207-8759 | |
Yangbasai Dong, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5819 E Riverside Blvd # 21, Rockford, IL 61114 Phone: 815-282-4311 Fax: 815-282-4315 | |
Dr. Julia R Pesavento, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1075 Featherstone Rd Ste 30, Rockford, IL 61107 Phone: 815-395-1711 Fax: 815-395-1705 | |
Dr. Thomas Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1601 Fax: 815-490-1625 |