OrganizationActive
Modern Dental of Rockford LLC
NPI 1346563525 · General Practice Dentistry · Rockford, IL
Provider details
- NPI number
- 1346563525
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeff Thomas, President(618) 532-4902
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1321 Sandy Hollow Rd
Rockford, IL 61109-2120
Phone: (815) 209-9070
Street-level locationGet directions
Mailing address
1321 Sandy Hollow Rd
Rockford, IL 61109-2120
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.