Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rockford Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1407599616

Rockford Pediatric Dentistry provides Pediatric Dentistry in Rockford, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1055 Featherstone Rd Ste A
Rockford, IL 61107-5904
Phone: (815) 520-0239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1407599616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Burch — Owner · (815) 980-5010
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address1055 Featherstone Rd Ste A, Rockford, IL 61107-5904

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