ROCK RIVER ORAL SURGERY & DENTAL IMPLANT CENTER LLC is an oral and maxillofacial surgery clinic center in Rockford, IL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ROCK RIVER ORAL SURGERY & DENTAL IMPLANT CENTER LLC NPI is 1811379142. The provider is registered as an organization entity type.
The provider's business location address is:
973 FEATHERSTONE RD
SUITE 102
ROCKFORD, IL
ZIP 61107-912
Phone: (815) 399-1234
Fax: (815) 399-2423
The provider's authorized official is Shea Mccue .
The authorized official title is Oral Surgeon/owner and has the following contact phone number (815) 399-1234.
The CLIA number assigned to this NPI record is 14D0646750 - blood banks with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 6/23/2015 and was last updated on 6/23/2015.