person
Dr. Samuel Moore Wallden, DMD
General Practice Dentistry in Rockford, Illinois
NPI 1811348287

Samuel Moore Wallden is a General Practice Dentistry based in Rockford, IL and is specialized in General Practice. Samuel Moore Wallden practices in Rockford, IL and has the professional credentials of DMD. The NPI Number for Samuel Moore Wallden is 1811348287 and holds a License No. 019.030757 (Illinois).

The current practice location address for Samuel Moore Wallden is 6075 Vantage Pl, Rockford, IL and can be reached out via phone at 815-399-0677.

Location: 6075 Vantage Pl, Rockford, IL, 61107-5905
person
Provider Profile Details
NPI Number
1811348287
Provider Name
Samuel Moore Wallden
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
6075 Vantage Pl, Rockford, IL, 61107-5905
Phone Number
815-399-0677
Fax Number
Provider Enumeration Date
06/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6075 Vantage Pl
City
State
Zip
61107-5905
Phone Number
815-399-0677
Fax Number
person
Provider Business Mailing Address Details
Address
6075 Vantage Pl
City
State
Zip
61107-5905
Phone Number
815-399-0677
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
019.030757 (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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