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

Cherryvale Dental Center LLC

Organization Dental Clinic/Center · NPI 1669094041

Cherryvale Dental Center LLC is a Dental Clinic/Center in Rockford, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1957 Pawlisch Dr
Rockford, IL 61112-1067
Phone: (815) 332-3477
Fax: (815) 332-3470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1669094041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bart Paul — Sole Member · (815) 332-3477
NPI enumeratedMay 8, 2020
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address1957 Pawlisch Dr, Rockford, IL 61112-1067

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