Pediatric Dentistry Of Northern Illinois Ltd
Pediatric Dental Clinic
4903 E State St, Rockford
Illinois, 61108
815-398-2323 815-398-2328
Maps & DirectionsPediatric Dentistry Of Northern Illinois Ltd is a Pediatric Dental Clinic in Rockford, Illinois. It is located at 4903 E State St, Rockford, IL and its contact number is 815-398-2323. The authorized person for Pediatric Dentistry Of Northern Illinois Ltd is Dr. Jeffrey James Johnson
who is Pediatric Dentist Owner President of the clinic and their contact number is 815-398-2323.
Pediatric Dentistry Of Northern Illinois Ltd Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Of Northern Illinois Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dentistry Of Northern Illinois Ltd |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 4903 E State St, Rockford,
Illinois, 61108 |
| Phone: | 815-398-2323 |
| Fax: | 815-398-2328 |
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. Jeffrey James Johnson |
| Position: | Pediatric Dentist Owner President |
| Contact Number: | 815-398-2323 |
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 Pediatric Dentistry Of Northern Illinois Ltd clinic are as mentioned below.
| NPI Number: | 1376651679 |
| NPI Enumeration Date: | 27 Aug, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry Of Northern Illinois Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | Illinois | Primary | |
| Pediatric Dentistry | 019 | Illinois | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Dentistry Of Northern Illinois Ltd
4903 E State St,
Rockford, Illinois |
| Zip: | 61108 |
| Phone Number: | 815-398-2323 |
| Fax Number: | 815-398-2328 |
Patients can reach Pediatric Dentistry Of Northern Illinois Ltd at
4903 E State St, Rockford, Illinois or can
call to book an appointment on 815-398-2323.
Comments/ Reviews:
Read all the reviews posted for Pediatric Dentistry Of Northern Illinois Ltd below. You may also share your own experience with Pediatric Dentistry Of Northern Illinois Ltd. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.