National Provider Identifier Database

GREAT SMILES OF ROCKFORD
Customized Equipment


Contact Information

GREAT SMILES OF ROCKFORD
780 N. MULFRORD ROAD
ROCKFORD, IL61107
Phone: 815-395-1600
Fax:
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for GREAT SMILES OF ROCKFORD

NPI Number 1851523146
Legal business name
LBN
GREAT SMILES OF ROCKFORD
Authorized official ABIERA ABIERA - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 08/20/2009
Last updated 08/20/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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