Pediatric Dentistry of Northern Illinois Ltd
Pediatric Dentistry of Northern Illinois Ltd provides Pediatric Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4903 E State StRockford, IL 61108
Phone: (815) 398-2323
Fax: (815) 398-2328
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X (IL) |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence 019 (IL) |
Record details
| NPI number | 1376651679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Johnson — Pediatric Dentist Owner President · (815) 398-2323 |
| NPI enumerated | August 27, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4903 E State St, Rockford, IL 61108 |
Other providers in Rockford
-
Dr. Jacob Caine Dachman, DMD
4903 E State St, Rockford, IL 61108-2276 · (815) 398-2323
-
Dr. Jeffrey James Johnson, DDS
4903 E State St, Rockford, IL 61108-2276 · (815) 398-2323
-
Dr. Pamela Lu
1055 Featherstone Rd, Rockford, IL 61107-5904 · (779) 210-2556
-
Rockford Pediatric Dentistry
1055 Featherstone Rd Ste A, Rockford, IL 61107-5904 · (815) 520-0239
-
Dr. Joseph L Zakarija, DDS
2730 McFarland Rd, Rockford, IL 61107-6888 · (815) 637-1700