OrganizationActive
Park City Dental, PC
NPI 1225469596 · Dentist · Rockford, IL
Park City Dental, PC is a Dentist organization in Rockford, IL (NPI 1225469596).
Provider details
- NPI number
- 1225469596
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jason Grinter, President(815) 708-6556
- License
- 019026609 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 N Court St
Suite 100
Rockford, IL 61103-6862
Phone: (815) 708-6556
Fax: (815) 708-6477
Street-level locationGet directions
Mailing address
555 N Court St
Rockford, IL 61103-6862
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2013-12-11
Frequently asked questions
- What is Park City Dental, PC's NPI number?
- Park City Dental, PC's National Provider Identifier (NPI) is 1225469596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park City Dental, PC?
- Park City Dental, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park City Dental, PC located?
- Park City Dental, PC's practice location on file with NPPES is 555 N Court St, Rockford, IL 61103-6862.
- What is Park City Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for Park City Dental, PC is (815) 708-6556.
- Who is the authorized official for Park City Dental, PC?
- The authorized official listed on Park City Dental, PC's NPPES record is Jason Grinter, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park City Dental, PC's NPI active?
- Yes — Park City Dental, PC's NPI (1225469596) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.