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205 Direct Dental Services Inc. — NPI 1386525889, Rockford, IL | NPI Central

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NPI 1386525889

OrganizationActive

205 Direct Dental Services Inc.

NPI 1386525889 · Dentist · Rockford, IL

Provider details

NPI number: 1386525889
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Henry Oates, Dentist / President(815) 637-6400

Specialties & taxonomies

DentistPrimary122300000X
Dental Providers

Practice location

4151 Samuelson Rd

Rockford, IL 61109-3272

Phone: (815) 637-6400

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

3957 N Mulford Rd

Rockford, IL 61114-8004

Registry dates

Enumerated: 2025-09-10
Last updated: 2025-09-10
Certified: 2025-09-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.