| Christopher Greenwaldt, Dmd, P.c. | |
|
6050 Brynwood Dr Ste 205 Rockford IL 61114-6579 | |
| (815) 201-5955 | |
| Not Available |
| Full Name | Christopher Greenwaldt, Dmd, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6050 Brynwood Dr Ste 205, Rockford, Illinois |
| Authorized Official Name and Position | Christopher Lee Greenwaldt (PRESIDENT) |
| Authorized Official Contact | 3126078106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Greenwaldt, Dmd, P.c. 4218 W Belmont Ave Chicago IL 60641-4620 Ph: (312) 607-8106 | Christopher Greenwaldt, Dmd, P.c. 6050 Brynwood Dr Ste 205 Rockford IL 61114-6579 Ph: (815) 201-5955 |
| NPI Number | 1073305017 |
|---|---|
| Provider Enumeration Date | 05/17/2025 |
| Last Update Date | 06/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073305017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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