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

Mys - Rockford LLC

Organization General Practice Dentistry · NPI 1952771636

Mys - Rockford LLC is a General Practice Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
4
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

1110 S Mulford Rd
Rockford, IL 61108-4213
Phone: (815) 398-3879
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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 · Licence 019024307 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019028820 (IL)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 019021620 (IL)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 019030473 (IL)

Record details

NPI number1952771636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Stern — Owner · (815) 398-2879
NPI enumeratedOctober 6, 2015
Last updated in NPPESJune 19, 2017
Mailing address1110 S Mulford Rd, Rockford, IL 61108-4213

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