Great Smiles Of Rockford, Ltd

LBN: Great Smiles Of Rockford, Ltd
Great Smiles Of Rockford, Ltd is an health care organization with primary practice located at 780 N Mulford Rd , Rockford IL 61107-3855. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Great Smiles Of Rockford, Ltd can be contacted via phone (815) 395-1600, or through Abiera, Jonathan Nabong via phone (815) 395-1600.

Contact Information

Primary practice address
780 N Mulford Rd Rockford IL 61107-3855
Phone: (815) 395-1600
Fax: (815) 399-0614
Website:
Map and Directions
Authorized official contact:
Name: Abiera, Jonathan Nabong Doctor of Dental Medicine (DMD)
Phone: (815) 395-1600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1538386933
LBN Legal business name Great Smiles Of Rockford, Ltd
DBA Doing business as
Authorized official Abiera, Jonathan Nabong Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 27th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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