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

DR. KURTIS E WIRTH DDS
NPI 1407850761
Dentist in Rockford, IL

Active since June 01, 2005
1107 S MULFORD RD, ROCKFORD, IL 61108(815) 965-5233(815) 965-9311 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kurtis E Wirth Dds NPPES

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

DR. KURTIS E WIRTH DDS (NPI 1407850761) is an individual dentist in Rockford, Illinois, licensed in Illinois (19016003) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1407850761
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KURTIS E WIRTHCredential: DDS
Location Address1107 S MULFORD RDRockford, IL 61108-4212
Mailing Address1107 S Mulford RdRockford, IL 61108-4212 · (815) 965-5233 · Fax (815) 965-9311
Phone(815) 965-5233
Fax(815) 965-9311
Sole ProprietorYes
Enumeration DateJune 1, 2005
Last NPPES UpdateJune 22, 2016
✔ NPI 1407850761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 19016003
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 19016003 (IL)
1107 S MULFORD RD, Rockford, IL 61108
Open in Google Maps ↗

Other Identifiers 3

Medicaid0017598WI
Medicare UPIN13244IL
Medicaid19016003IL

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 Kurtis Wirth's NPI number?

The NPI number for Kurtis Wirth is 1407850761. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Kurtis Wirth located?

Kurtis Wirth practices at 1107 S Mulford Rd, Rockford, IL 61108. The listed phone number is (815) 965-5233.

What is Kurtis Wirth'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 Kurtis Wirth was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.