person
Patrick Mitsos
General Practice Dentistry in Rockford, Illinois
NPI 1558775122

Patrick Mitsos is a General Practice Dentistry based in Rockford, IL and is specialized in General Practice. Patrick Mitsos practices in Rockford, IL. The NPI Number for Patrick Mitsos is 1558775122 and holds a License No. 019029811 (Illinois).

The current practice location address for Patrick Mitsos is 5819 E Riverside Blvd # 21, Rockford, IL and can be reached out via phone at 815-282-4311 and via fax at 815-282-4315.

Location: 5819 E Riverside Blvd # 21, Rockford, IL, 61114-4963
person
Provider Profile Details
NPI Number
1558775122
Provider Name
Patrick Mitsos
Credential
Provider Entity Type
Individual
Gender
Male
Address
5819 E Riverside Blvd # 21, Rockford, IL, 61114-4963
Phone Number
815-282-4311
Fax Number
815-282-4315
Provider Enumeration Date
06/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5819 E Riverside Blvd # 21
City
State
Zip
61114-4963
Phone Number
815-282-4311
Fax Number
815-282-4315
person
Provider Business Mailing Address Details
Address
5819 E Riverside Blvd # 21
City
State
Zip
61114-4963
Phone Number
815-282-4311
Fax Number
815-282-4315
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
019029811 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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