CHERRYVALE DENTAL CENTER LLC
NPI 1669094041
Clinic/Center - Dental in Rockford, IL

Q: What is Cherryvale Dental Center LLC's NPI number?

The NPI number for Cherryvale Dental Center LLC is 1669094041. It was assigned to this organization in the NPPES registry on May 8, 2020.

Q: What is Cherryvale Dental Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since May 08, 2020

1957 PAWLISCH DR, ROCKFORD, IL 61112(815) 332-3477(815) 332-3470 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cherryvale Dental Center Llc NPPES

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

CHERRYVALE DENTAL CENTER LLC (NPI 1669094041) is a healthcare organization registered as a dental in Rockford, Illinois and active in the NPI registry since May 2020. The organization lists Bart Paul, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1669094041

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCHERRYVALE DENTAL CENTER LLC

Location Address1957 PAWLISCH DRRockford, IL 61112-1067

Mailing Address1957 Pawlisch DrRockford, IL 61112-1067 · (815) 332-3477 · Fax (815) 332-3470

Phone(815) 332-3477

Fax(815) 332-3470

Organization SubpartNo

Authorized OfficialBart PaulSole Member · (815) 332-3477

Enumeration DateMay 8, 2020

NPPES CertifiedMay 8, 2020

✔ NPI 1669094041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1957 PAWLISCH DR, Rockford, IL 61112

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Other Providers at the Same Location NPPES

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

DR. BART J. PAUL DDS

Dentist (General Practice)

1957 PAWLISCH DR
ROCKFORD, IL 61112

Winnebago County (815) 332-3477

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 Cherryvale Dental Center LLC's NPI number?

The NPI number for Cherryvale Dental Center LLC is 1669094041. It was assigned to this organization in the NPPES registry on May 8, 2020.

Where is Cherryvale Dental Center LLC located?

Cherryvale Dental Center LLC is located at 1957 Pawlisch Dr, Rockford, IL 61112. The listed phone number is (815) 332-3477.

What is Cherryvale Dental Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cherryvale Dental Center LLC was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.