1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Dentist
  6. NPI Profile

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: August 16, 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
Open in Google Maps ↗

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rockford Pediatric Dentistry's NPI number?

The NPI number for Rockford Pediatric Dentistry is 1407599616. It was assigned to this organization in the NPPES registry on April 15, 2022.

Where is Rockford Pediatric Dentistry located?

Rockford Pediatric Dentistry is located at 1055 Featherstone Rd Ste A, Rockford, IL 61107. The listed phone number is (815) 520-0239.

What is Rockford Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Rockford Pediatric Dentistry was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.