Park City Dental, Pc is a Dental Clinic in Rockford, Illinois. It is located at 555 N Court St, Suite 100, Rockford, IL and its contact number is 815-708-6556. The authorized person for Park City Dental, Pc is Dr. Jason M Grinter
who is President of the clinic and their contact number is 815-708-6556. The primary license number for Park City Dental, Pc is 019026609 (Dentist) in Illinois. Park City Dental, Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Park City Dental, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Park City Dental, Pc
Specialization:
Dentistry
Clinic Address:
555 N Court St, Suite 100, Rockford, Illinois, 61103-6862
Phone:
815-708-6556
Fax:
815-708-6477
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jason M Grinter
Position:
President
Contact Number:
815-708-6556
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Park City Dental, Pc clinic are as mentioned below.
NPI Number:
1225469596
NPI Enumeration Date:
11 Dec, 2013
NPI Last Update On:
11 Dec, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park City Dental, Pc are as mentioned below.
Specialization
License Number
State
Status
Dentist
019026609
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
091906609
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Park City Dental, Pc 555 N Court St, Suite 100 Rockford, Illinois
Zip:
61103-6862
Phone Number:
815-708-6556
Fax Number:
815-708-6477
Patients can reach Park City Dental, Pc at 555 N Court St, Suite 100, Rockford, Illinois or can call to book an appointment on 815-708-6556. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.