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PERRYVILLE DENTIST PC
NPI 1730547936
Dentist - General Practice in Rockford, IL

Active since February 02, 2016
845 S PERRYVILLE RD, UNIT 119, ROCKFORD, IL 61108(847) 354-0127 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Perryville Dentist Pc NPPES

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

PERRYVILLE DENTIST PC (NPI 1730547936) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since February 2016. The organization lists Jabal R Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1730547936
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePERRYVILLE DENTIST PC
Location Address845 S PERRYVILLE RD, UNIT 119Rockford, IL 61108
Mailing Address845 S Perryville Rd, Unit 119Rockford, IL 61108 · (847) 354-0127
Phone(847) 354-0127
Organization SubpartNo
Authorized OfficialJabal R PatelOwner · (847) 354-0127
Enumeration DateFebruary 2, 2016
✔ NPI 1730547936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.026938
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.
845 S PERRYVILLE RD, Rockford, IL 61108
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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.

HENRY HACKNEY III D.M.D.
Dentist
845 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (773) 423-2135
DR. TAHA MIRZA DDS
Dentist (General Practice)
845 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (779) 423-2135

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 Perryville Dentist PC's NPI number?

The NPI number for Perryville Dentist PC is 1730547936. It was assigned to this organization in the NPPES registry on February 2, 2016.

Where is Perryville Dentist PC located?

Perryville Dentist PC is located at 845 S Perryville Rd Unit 119, Rockford, IL 61108. The listed phone number is (847) 354-0127.

What is Perryville Dentist PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Perryville Dentist PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Perryville Dentist PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Perryville Dentist PC was last updated on February 2, 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.