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ROCKFORD FAMILY DENTAL P.C.
NPI 1386982940
Dentist - General Practice in Rockford, IL

Active since January 16, 2013
2715 N MAIN ST, ROCKFORD, IL 61103(815) 964-8713(815) 964-3719 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rockford Family Dental P.c. NPPES

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

ROCKFORD FAMILY DENTAL P.C. (NPI 1386982940) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since January 2013. The organization lists Razvan Cornel Mirza, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1386982940
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROCKFORD FAMILY DENTAL P.C.
Location Address2715 N MAIN STRockford, IL 61103-3111
Mailing Address2715 N Main StRockford, IL 61103-3111 · (815) 964-8713 · Fax (815) 964-3719
Phone(815) 964-8713
Fax(815) 964-3719
Organization SubpartNo
Authorized OfficialRazvan Cornel MirzaSecretary/treasurer · (815) 964-8713
Enumeration DateJanuary 16, 2013
Last NPPES UpdateMay 14, 2014
✔ NPI 1386982940 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.
2715 N MAIN ST, Rockford, IL 61103
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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.

CATHERINE M BAER-MIRZA D.D.S.
Dentist (General Practice)
2715 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 964-8713
DR. RAZVAN CORNEL MIRZA D.D.S.
Dentist (General Practice)
2715 N MAIN ST
ROCKFORD, IL 61103
Winnebago County (815) 964-8713

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 Family Dental P.C.'s NPI number?

The NPI number for Rockford Family Dental P.C. is 1386982940. It was assigned to this organization in the NPPES registry on January 16, 2013.

Where is Rockford Family Dental P.C. located?

Rockford Family Dental P.C. is located at 2715 N Main St, Rockford, IL 61103. The listed phone number is (815) 964-8713.

What is Rockford Family Dental P.C.'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 Family Dental P.C. was last updated on May 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.