Pediatric 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.