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ROCKFORD PEDIATRIC DENTISTRY
NPI 1407599616
Dentist - Pediatric Dentistry in Rockford, IL

Active since April 15, 2022
1055 FEATHERSTONE RD STE A, ROCKFORD, IL 61107(815) 520-0239 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rockford Pediatric Dentistry NPPES

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

ROCKFORD PEDIATRIC DENTISTRY (NPI 1407599616) is a healthcare organization registered as a pediatric dentistry in Rockford, Illinois and active in the NPI registry since April 2022. The organization lists Jeffrey Burch, Owner, as its authorized official.

NPPES Registry Identity

NPI1407599616
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameROCKFORD PEDIATRIC DENTISTRY
Location Address1055 FEATHERSTONE RD STE ARockford, IL 61107-5904
Mailing Address1055 Featherstone Rd Ste ARockford, IL 61107-5904
Phone(815) 520-0239
Organization SubpartNo
Authorized OfficialJeffrey BurchOwner · (815) 980-5010
Enumeration DateApril 15, 2022
NPPES CertifiedApril 15, 2022
✔ NPI 1407599616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1055 FEATHERSTONE RD STE A, Rockford, IL 61107
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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

Frequently Asked Questions

What is ROCKFORD PEDIATRIC DENTISTRY's NPI number?

The NPI number assigned to this healthcare provider is 1407599616, enumerated as an "organization" on April 15, 2022.

Where is the provider located?

The provider is located at 1055 FEATHERSTONE RD STE A ROCKFORD, IL 61107 and the phone number is (815) 520-0239.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.