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

Park City Dental, PC

Organization Dentist · NPI 1225469596

Park City Dental, PC is a Dentist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 N Court St Ste 100
Rockford, IL 61103-6862
Phone: (815) 708-6556
Fax: (815) 708-6477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019026609 (IL)

Record details

NPI number1225469596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Grinter — President · (815) 708-6556
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013
Mailing address555 N Court St, Suite 100, Rockford, IL 61103-6862

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