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ROCKFORD MODERN DENTAL LLC
NPI 1316260599
Dentist - General Practice in Rockford, IL

Active since March 02, 2010
5909 E STATE ST, ROCKFORD, IL 61108(815) 904-8701 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rockford Modern Dental Llc NPPES

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

ROCKFORD MODERN DENTAL LLC (NPI 1316260599) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since March 2010. The organization lists Jeff Thomas, President, as its authorized official.

NPPES Registry Identity

NPI1316260599
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROCKFORD MODERN DENTAL LLC
Location Address5909 E STATE STRockford, IL 61108-2429
Mailing Address5909 E State StRockford, IL 61108-2429 · (815) 904-8701
Phone(815) 904-8701
Organization SubpartNo
Authorized OfficialJeff ThomasPresident · (618) 532-4902
Enumeration DateMarch 2, 2010
✔ NPI 1316260599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5909 E STATE ST, Rockford, IL 61108
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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 2

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

GARY J LECOQUE PHARMACIST
Pharmacist
5909 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 229-5719
MR. DENNIS MICHAEL MORESCO R.P.H.
Pharmacist
5909 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 229-5719

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 Rockford Modern Dental LLC's NPI number?

The NPI number for Rockford Modern Dental LLC is 1316260599. It was assigned to this organization in the NPPES registry on March 2, 2010.

Where is Rockford Modern Dental LLC located?

Rockford Modern Dental LLC is located at 5909 E State St, Rockford, IL 61108. The listed phone number is (815) 904-8701.

What is Rockford Modern Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Rockford Modern Dental LLC was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.