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DENTAL GROUP OF ROCKFORD
NPI 1902028178
Dentist - General Practice in Rockford, IL

Active since May 03, 2007
3065 N PERRYVILLE RD UNIT 125, ROCKFORD, IL 61114(815) 637-2273(815) 637-2466 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental Group Of Rockford NPPES

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

DENTAL GROUP OF ROCKFORD (NPI 1902028178) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since May 2007. The organization lists Amy Kroeger, Ins Cood, as its authorized official.

NPPES Registry Identity

NPI1902028178
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF ILLINOIS, PC
Location Address3065 N PERRYVILLE RD UNIT 125Rockford, IL 61114-8036
Mailing Address3065 N Perryville Rd Unit 125Rockford, IL 61114-8036 · (815) 637-2273 · Fax (815) 637-2466
Phone(815) 637-2273
Fax(815) 637-2466
Organization SubpartNo
Authorized OfficialAmy KroegerIns Cood · (217) 540-5100
Enumeration DateMay 3, 2007
Last NPPES UpdateMarch 17, 2010
✔ NPI 1902028178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3065 N PERRYVILLE RD UNIT 125, Rockford, IL 61114
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Other Names 1

Doing Business AsDental Group Of Rockford

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

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. ASSAD QASIM DMD
Dentist
3065 N PERRYVILLE RD UNIT 125
ROCKFORD, IL 61114
Winnebago County (815) 637-2273

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 Lifetime Dental Care Of Illinois, PC's NPI number?

The NPI number for Lifetime Dental Care Of Illinois, PC is 1902028178. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Dental Group Of Rockford.

Where is Lifetime Dental Care Of Illinois, PC located?

Lifetime Dental Care Of Illinois, PC is located at 3065 N Perryville Rd Unit 125, Rockford, IL 61114. The listed phone number is (815) 637-2273.

What is Lifetime Dental Care Of Illinois, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifetime Dental Care Of Illinois, PC was last updated on March 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.