person
Dr. Michael David Degould, DDS
Oral and Maxillofacial Surgery (Dentist) in Rockford, Illinois
NPI 1245673441

Michael David Degould is a Oral and Maxillofacial Surgery (Dentist) based in Rockford, IL and is specialized in Oral and Maxillofacial Surgery. Michael David Degould practices in Rockford, IL and has the professional credentials of DDS. The NPI Number for Michael David Degould is 1245673441 and holds a License No. 019019722 (Illinois).

The current practice location address for Michael David Degould is 2835 Mcfarland Rd, Rockford, IL and can be reached out via phone at 815-654-0039 and via fax at 815-654-0650. You can also correspond with Michael David Degould through the mailing address at 2835 MCFARLAND RD, ROCKFORD, IL - 61107-6819 (mailing address contact number: 815-654-0039).

Location: 2835 Mcfarland Rd, Rockford, IL, 61107-6819
person
Provider Profile Details
NPI Number
1245673441
Provider Name
Michael David Degould
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2835 Mcfarland Rd, Rockford, IL, 61107-6819
Phone Number
815-654-0039
Fax Number
815-654-0650
Provider Enumeration Date
04/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2835 Mcfarland Rd
City
State
Zip
61107-6819
Phone Number
815-654-0039
Fax Number
815-654-0650
person
Provider Business Mailing Address Details
Address
2835 Mcfarland Rd
City
State
Zip
61107-6819
Phone Number
815-654-0039
Fax Number
815-654-0650
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
019019722 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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