MODERN DENTAL OF ROCKFORD LLC
NPI 1346563525
Dentist - General Practice in Rockford, IL

Active since March 02, 2010
1321 SANDY HOLLOW RD, ROCKFORD, IL 61109(815) 209-9070 Get Directions Write a Review

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

About Modern Dental Of Rockford Llc NPPES

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

MODERN DENTAL OF ROCKFORD LLC (NPI 1346563525) 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

NPI1346563525
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL OF ROCKFORD LLC
Location Address1321 SANDY HOLLOW RDRockford, IL 61109-2120
Mailing Address1321 Sandy Hollow RdRockford, IL 61109-2120 · (815) 209-9070
Organization SubpartNo
Authorized OfficialJeff ThomasPresident · (618) 532-4902
Enumeration DateMarch 2, 2010
NPI 1346563525 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.
1321 SANDY HOLLOW RD, Rockford, IL 61109

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.

Pharmacist
1321 SANDY HOLLOW RD
ROCKFORD, IL 61109
Pharmacist
1321 SANDY HOLLOW RD
ROCKFORD, IL 61109

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 Modern Dental Of Rockford LLC's NPI number?

The NPI number for Modern Dental Of Rockford LLC is 1346563525. It was assigned to this organization in the NPPES registry on March 2, 2010.

Where is Modern Dental Of Rockford LLC located?

Modern Dental Of Rockford LLC is located at 1321 Sandy Hollow Rd, Rockford, IL 61109. The listed phone number is (815) 209-9070.

What is Modern Dental Of Rockford 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 Modern Dental Of Rockford 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.