Winnebago Braces, Llc.

NPI #1952887374 in Rockford, Illinois

Provider Information

NPI Number: 1952887374
Entity Type: Organization
Organization Name: Winnebago Braces, Llc.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jul 18, 2018
Last Updated: Jul 18, 2018

Practice Location

Address: 555 N COURT ST STE 110
City: Rockford
State: Illinois
ZIP Code: 61103-6898
Phone: (815) 733-2550

Authorized Official

Name: DR. SCOTT GOLDMAN, DDS
Title: CEO/CO-FOUNDER
Phone: (312) 882-2569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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DR. Lina Alsibaie, DMD	Dentist - Orthodontics and Dentofacial Orthopedics	Rockford	AI Deep Dive
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