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205 DIRECT DENTAL SERVICES INC.
NPI 1386525889
Dentist in Rockford, IL

Active since September 10, 2025
4151 SAMUELSON RD, ROCKFORD, IL 61109(815) 637-6400 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 205 Direct Dental Services Inc. NPPES

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

205 DIRECT DENTAL SERVICES INC. (NPI 1386525889) is a healthcare organization registered as a dentist in Rockford, Illinois and active in the NPI registry since September 2025. The organization lists Henry Cyrus Oates, Dentist / President, as its authorized official.

NPPES Registry Identity

NPI1386525889
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business Name205 DIRECT DENTAL SERVICES INC.
Location Address4151 SAMUELSON RDRockford, IL 61109-3272
Mailing Address3957 N Mulford RdRockford, IL 61114-8004 · (815) 637-6400 · Fax (815) 637-6477
Phone(815) 637-6400
Organization SubpartNo
Authorized OfficialHenry Cyrus OatesDentist / President · (815) 637-6400
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1386525889 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.
4151 SAMUELSON RD, Rockford, IL 61109
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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

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

ELENA MARCOTTE DMD
Dentist
4151 SAMUELSON RD
ROCKFORD, IL 61109
Winnebago County (224) 766-6603

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 205 Direct Dental Services Inc.'s NPI number?

The NPI number for 205 Direct Dental Services Inc. is 1386525889. It was assigned to this organization in the NPPES registry on September 10, 2025.

Where is 205 Direct Dental Services Inc. located?

205 Direct Dental Services Inc. is located at 4151 Samuelson Rd, Rockford, IL 61109. The listed phone number is (815) 637-6400.

What is 205 Direct Dental Services Inc.'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 205 Direct Dental Services Inc. was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.