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

Individual provider Dentist · NPI 1386462216

Dr. Dhivyalakshmi Manavazhagan, DDS is a Dentist in Rockford, Illinois. Works from 2 locations. Licensed in Illinois and Michigan.

Licensed in
IL, MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6215 E State St
Rockford, IL 61108-2514
Phone: (815) 399-7080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 N University Ave, Ann Arbor, MI 48109-1078 — (734) 763-6933

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.035499 (IL)
Dentist Taxonomy 122300000X · Licence 2901602316 (MI)

Record details

NPI number1386462216
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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