Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

205 Direct Dental Services Inc

Organization Dentist · NPI 1386525889

205 Direct Dental Services Inc is a Dentist in Rockford, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4151 Samuelson Rd
Rockford, IL 61109-3272
Phone: (815) 637-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1386525889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Oates — Dentist / President · (815) 637-6400
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address3957 N Mulford Rd, Rockford, IL 61114-8004

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