OrganizationActive
Affordable Dentistry Today
NPI 1629393962 · General Practice Dentistry · Rockford, IL
Provider details
- NPI number
- 1629393962
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Affordable Dentistry Today
- Organization subpart
- Yes
- Authorized official
- Kelli Walker, Insurance/Credentialing(217) 540-5100
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 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
5819 E Riverside Blvd # 21
Rockford, IL 61114-4963
Phone: (815) 282-4311
Fax: (815) 282-4315
Street-level locationGet directions
Mailing address
5819 E Riverside Blvd # 21
Rockford, IL 61114-4963
Other names (DBA / former)
- Doing business as
- Affordable Dentistry Today - Rockford
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2010-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.