PARK CITY DENTAL, PC
NPI 1225469596
Dentist in Rockford, IL

Q: What is Park City Dental, PC's NPI number?

The NPI number for Park City Dental, PC is 1225469596. It was assigned to this organization in the NPPES registry on December 11, 2013.

Q: What is Park City Dental, PC's specialty?

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

Active since December 11, 2013

555 N COURT ST, SUITE 100, ROCKFORD, IL 61103(815) 708-6556(815) 708-6477 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Park City Dental, Pc NPPES

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

PARK CITY DENTAL, PC (NPI 1225469596) is a healthcare organization registered as a dentist in Rockford, Illinois and active in the NPI registry since December 2013. The organization lists Jason M Grinter, President, as its authorized official.

NPPES Registry Identity

NPI1225469596

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePARK CITY DENTAL, PC

Location Address555 N COURT ST, SUITE 100Rockford, IL 61103-6862

Mailing Address555 N Court St, Suite 100Rockford, IL 61103-6862 · (815) 708-6556 · Fax (815) 708-6477

Phone(815) 708-6556

Fax(815) 708-6477

Organization SubpartNo

Authorized OfficialJason M GrinterPresident · (815) 708-6556

Enumeration DateDecember 11, 2013

✔ NPI 1225469596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019026609

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.

555 N COURT ST, Rockford, IL 61103

Open in Google Maps ↗

Other Identifiers 1

Medicaid091906609IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

NATALIE JEAN PARKER APRN, WHNP-BC, CNM

Nurse Practitioner (Women's Health)

555 N COURT ST
ROCKFORD, IL 61103

Winnebago County (815) 720-4000

JOYCE ELAINE CAIN APN

Nurse Practitioner (Women's Health)

555 N COURT ST
ROCKFORD, IL 61103

Winnebago County (815) 972-7400

WINNEBAGO COUNTY HEALTH DEPARTMENT

Public Health or Welfare

555 N COURT ST
ROCKFORD, IL 61103

Winnebago County (815) 720-4200

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 Park City Dental, PC's NPI number?

The NPI number for Park City Dental, PC is 1225469596. It was assigned to this organization in the NPPES registry on December 11, 2013.

Where is Park City Dental, PC located?

Park City Dental, PC is located at 555 N Court St Suite 100, Rockford, IL 61103. The listed phone number is (815) 708-6556.

What is Park City Dental, PC'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 Park City Dental, PC was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.