Affordable Dentistry Today

NPI #1629393962 in Rockford, Illinois

Provider Information

NPI Number: 1629393962
Entity Type: Organization
Organization Name: Affordable Dentistry Today
Subpart: Yes (part of a larger organization)
Parent Organization: AFFORDABLE DENTISTRY TODAY
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 30, 2010
Last Updated: Mar 30, 2010

Practice Location

Address: 5819 E RIVERSIDE BLVD # 21
City: Rockford
State: Illinois
ZIP Code: 61114-4963
Phone: (815) 282-4311

Authorized Official

Name: KELLI WALKER
Title: INSURANCE/CREDENTIALING
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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