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Contact Information

GREAT SMILES OF ROCKFORD
780 N. MULFRORD ROAD
ROCKFORD, IL61107
 Phone: 815-395-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GREAT SMILES OF ROCKFORD

NPI Number 1851523146
LBN Legal business name GREAT SMILES OF ROCKFORD
Authorized official ABIERA ABIERA - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2009
Last updated 08/20/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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