Forest City Dental

NPI #1750405445 in Rockford, Illinois

Provider Information

NPI Number: 1750405445
Entity Type: Organization
Organization Name: Forest City Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1855 DAIMLER RD
City: Rockford
State: Illinois
ZIP Code: 61112-1063
Phone: (815) 397-7454

Authorized Official

Name: DR. JAMES STOVALL, DDS
Title: OWNER
Phone: (815) 397-7454

Specialties & Taxonomy Codes

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

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