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

Grand Smiles 4, PLLC

Organization General Practice Dentistry · NPI 1194690214

Grand Smiles 4, PLLC is a General Practice Dentistry in Rockford, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 7th St
Rockford, IL 61104-1249
Phone: (815) 597-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1194690214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Waheed — Dentist · (815) 597-7777
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address115 7th St, Rockford, IL 61104-1249

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