1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Dentist
  6. NPI Profile

AESTHETIC DENTISTRY AND IMPLANT CENTER OF ROCKFORD
NPI 1164397048
Dentist in Rockford, IL

Active since October 09, 2025
6993 REDANSA DR, ROCKFORD, IL 61108(630) 450-3767 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aesthetic Dentistry And Implant Center Of Rockford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AESTHETIC DENTISTRY AND IMPLANT CENTER OF ROCKFORD (NPI 1164397048) is a healthcare organization registered as a dentist in Rockford, Illinois and active in the NPI registry since October 2025. The organization lists Chirag Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164397048
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameAESTHETIC DENTISTRY AND IMPLANT CENTER OF ROCKFORD
Location Address6993 REDANSA DRRockford, IL 61108-1201
Mailing Address6993 Redansa DrRockford, IL 61108-1201 · (630) 450-3767
Phone(630) 450-3767
Organization SubpartNo
Authorized OfficialChirag PatelCeo · (630) 450-3767
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1164397048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6993 REDANSA DR, Rockford, IL 61108
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JON R CONKLIN DDS
Dentist (General Practice)
6993 REDANSA DR
ROCKFORD, IL 61108
Winnebago County (815) 397-3661
JULI YOUNG, DMD, PC
Dentist
6993 REDANSA DR
ROCKFORD, IL 61108
Winnebago County (815) 397-3661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aesthetic Dentistry And Implant Center Of Rockford's NPI number?

The NPI number for Aesthetic Dentistry And Implant Center Of Rockford is 1164397048. It was assigned to this organization in the NPPES registry on October 9, 2025.

Where is Aesthetic Dentistry And Implant Center Of Rockford located?

Aesthetic Dentistry And Implant Center Of Rockford is located at 6993 Redansa Dr, Rockford, IL 61108. The listed phone number is (630) 450-3767.

What is Aesthetic Dentistry And Implant Center Of Rockford's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Aesthetic Dentistry And Implant Center Of Rockford was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.