| Periodontics Of Rockford Ltd. | |
|
1055 Featherstone Rd Rockford IL 61107 | |
| (815) 227-5858 | |
| (815) 227-6238 |
| Full Name | Periodontics Of Rockford Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 1055 Featherstone Rd, Rockford, Illinois |
| Authorized Official Name and Position | Jeffrey V.a. Burch (PERIODONTIST) |
| Authorized Official Contact | 8152275858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics Of Rockford Ltd. 1055 Featherstone Rd Rockford IL 61107 Ph: (815) 227-5858 | Periodontics Of Rockford Ltd. 1055 Featherstone Rd Rockford IL 61107 Ph: (815) 227-5858 |
| NPI Number | 1295988574 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295988574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 021002217 (Illinois) | Primary |
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