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International Dental Center
Point of Service in Rockford, Illinois
NPI 1083905467

International Dental Center is a Point of Service based in Rockford, IL. International Dental Center practices in Rockford, IL. The NPI Number for International Dental Center is 1083905467 and holds a License No. (Illinois).

The current practice location address for International Dental Center is 3502 E State St, Rockford, IL and can be reached out via phone at 815-227-1050.

Location: 3502 E State St, Rockford, IL, 61108-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083905467
Provider Name
International Dental Center
Credential
Provider Entity Type
Organization
Address
3502 E State St, Rockford, IL, 61108-1914
Phone Number
815-227-1050
Fax Number
Provider Enumeration Date
04/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3502 E State St
City
Rockford
State
Illinois
Zip
61108-1914
Phone Number
815-227-1050
Fax Number
person
Provider Business Mailing Address Details
Address
3502 E State St
City
Rockford
State
Illinois
Zip
61108-1914
Phone Number
815-227-1050
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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