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

Perryville Dentist PC

Organization General Practice Dentistry · NPI 1730547936

Perryville Dentist PC is a General Practice Dentistry in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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

845 S Perryville Rd Unit 119
Rockford, IL 61108
Phone: (847) 354-0127
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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 · Licence 019.026938 (IL)

Record details

NPI number1730547936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jabal Patel — Owner · (847) 354-0127
NPI enumeratedFebruary 2, 2016
Last updated in NPPESFebruary 2, 2016
Mailing address845 S Perryville Rd, Unit 119, Rockford, IL 61108

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