Dr. Samuel Moore Wallden, DMD
Dr. Samuel Moore Wallden, DMD 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?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
6075 Vantage PlRockford, IL 61107-5905
Phone: (815) 399-0677
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.030757 (IL) |
|---|
Record details
| NPI number | 1811348287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | June 28, 2016 |
| Last updated in NPPES | June 28, 2016 |
| Mailing address | 6075 Vantage Pl, Rockford, IL 61107-5905 |
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