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

Alex McCoy Daniel, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578117339

Alex McCoy Daniel, DMD is a Student in an Organized Health Care Education/Training Program in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6215 E State St
Rockford, IL 61108-2514
Phone: (815) 399-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.032375 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578117339
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 30, 2019
Last updated in NPPESSeptember 3, 2019
Mailing address351 Hampstead Dr, Sugar Grove, IL 60554-2206

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