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

Rockford Modern Dental LLC

Organization General Practice Dentistry · NPI 1316260599

Rockford Modern Dental LLC is a General Practice Dentistry in Rockford, Illinois. Registered with an NPI since 2010.

In the registry since
2010
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

5909 E State St
Rockford, IL 61108-2429
Phone: (815) 904-8701
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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 number1316260599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Thomas — President · (618) 532-4902
NPI enumeratedMarch 2, 2010
Last updated in NPPESMarch 2, 2010
Mailing address5909 E State St, Rockford, IL 61108-2429

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